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Pennsylvania rates for HCPCS 96377

Appl On-Body Injector For Timed Subq Injection

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.61 / $21.18 / $88.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $18.25 / $36.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $16.86 / $42.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $31.11 / $2,843.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $16.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $17.77 / $21.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.36 / $24.94 / $39.45