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Pennsylvania rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.43 / $59.29 / $151.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $12.34 / $14.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.43 / $59.97 / $536.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.50 / $92.85 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $11.06 / $11.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.32 / $18.89 / $46.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $16.52 / $24.97
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $11.34 / $19.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.86 / $40.40 / $93.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $13.50 / $13.50
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $56.69 / $132.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $56.42 / $169.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.63 / $12.34 / $35.78
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.77 / $87.77 / $110.41
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $21.53 / $46.72
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.85 / $16.52 / $24.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $14.18 / $14.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $14.18 / $20.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $11.89 / $28.54