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Pennsylvania rates for HCPCS 85420

Fibrinolytic factors and inhibitors; plasminogen, except antigenic assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.54 / $27.32 / $333.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $5.70 / $6.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.97 / $42.83 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.29 / $8.69 / $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
$3.00 / $3.85 / $8.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.31 / $18.77 / $47.54
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $6.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.55 / $22.54 / $155.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $5.83 / $26.97
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $9.93 / $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
$6.53 / $6.53 / $6.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $6.53 / $9.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $4.24 / $11.95