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Pennsylvania rates for HCPCS A4657

Syringe, with or without needle, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $3,498.35
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.96 / $1.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $581.52 / $4,341.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.90 / $1.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28