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Pennsylvania rates for HCPCS 84376

Sugars Mono Di&Oligos 1 Qualitataive Each Spec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $16.50 / $38.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.76 / $5.28
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.77 / $36.06 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.29 / $4.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $7.33 / $18.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $6.20 / $9.73
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.40 / $7.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.69 / $20.07 / $31.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $4.40 / $5.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $16.38 / $39.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.96 / $4.79 / $22.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.69 / $8.35 / $18.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $6.20 / $9.73
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $5.50 / $5.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.50 / $7.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.20 / $2.75 / $3.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.38 / $9.65