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Pennsylvania rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $36.54 / $56.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $11.02 / $55.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.73 / $87.95 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.84 / $17.91 / $44.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $15.69 / $23.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $10.75 / $18.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.84 / $35.84 / $303.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.42 / $36.54 / $56.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $11.42 / $55.51
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $20.41 / $44.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $15.69 / $23.70
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.44 / $13.44 / $13.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.83 / $13.44 / $19.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.05 / $8.74 / $24.60