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Pennsylvania rates for HCPCS 84260

Serotonin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.32 / $123.22 / $231.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.09 / $27.00 / $30.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $18.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.22 / $202.86 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.16 / $24.16 / $24.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.36 / $41.26 / $103.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $35.52 / $54.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.25 / $18.28 / $41.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.92 / $62.80 / $160.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $26.34 / $29.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.32 / $84.24 / $253.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.31 / $27.00 / $127.95
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $47.06 / $103.23
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $35.52 / $54.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $30.98 / $30.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.26 / $30.98 / $44.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $20.35 / $54.28