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Pennsylvania rates for HCPCS C9254

Injection, lacosamide, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $24.57 / $132.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $1.12 / $1.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.52 / $224.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.52
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20