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Pennsylvania rates for HCPCS 84437

Thyroxine; requiring elution (eg, neonatal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $17.59 / $27.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.31 / $26.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $42.38 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.25 / $8.63 / $21.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $7.43 / $11.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.98 / $3.82 / $8.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $12.93 / $12.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $17.71 / $28.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.50 / $26.72
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.69 / $78.20 / $108.78
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $9.83 / $21.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $7.43 / $11.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $6.47 / $6.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $6.47 / $9.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $3.97 / $11.34