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Pennsylvania rates for HCPCS 85475

Hemolysin Acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $24.12 / $37.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $7.54 / $8.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.73 / $58.08 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.83 / $11.82 / $29.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $9.94 / $15.66
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $7.10 / $12.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.54 / $24.12 / $37.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $7.92 / $36.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $13.48 / $29.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $9.94 / $15.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $8.86 / $8.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $8.86 / $12.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $5.68 / $15.54