go back

Pennsylvania rates for HCPCS 84590

Vitamin A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.63 / $48.17 / $98.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.58 / $10.02 / $10.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $6.97
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $53.28 / $982.07
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.47 / $75.93 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $9.06 / $9.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $15.47 / $38.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $13.22 / $20.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.34 / $9.28 / $15.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $32.51 / $91.41
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $9.86 / $11.00
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.35 / $47.79 / $112.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $44.16 / $126.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $10.11 / $17.86
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.78 / $17.62 / $38.03
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $13.22 / $20.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $11.61 / $16.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $7.62 / $21.25