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Pennsylvania rates for HCPCS 85415

Fibrinolytic factors and inhibitors; plasminogen activator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.92 / $49.08 / $78.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $15.40 / $30.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $10.31 / $10.31
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.26 / $95.13 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $13.41 / $13.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $22.88 / $56.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $19.82 / $30.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $10.14 / $23.28
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.52 / $37.94 / $82.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.31 / $14.00 / $14.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.92 / $41.41 / $76.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $15.40 / $70.98
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $26.12 / $56.50
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $19.82 / $30.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $17.19 / $17.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.13 / $17.19 / $20.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $14.41 / $28.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $10.31 / $31.46