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Pennsylvania rates for HCPCS 85400

Fibrinolytic Factors & Inhibitors Plasmin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.25 / $21.13 / $32.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.32 / $31.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.59 / $57.90 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.01 / $6.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $10.26 / $26.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $9.09 / $15.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.55 / $10.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.55 / $21.13 / $32.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.84 / $31.84
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $12.02 / $26.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $9.09 / $15.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.71 / $7.71 / $7.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.78 / $7.71 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $6.46 / $15.49