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Pennsylvania rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $982.75 / $1,083.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $440.98 / $440.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.98 / $982.75 / $1,083.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $440.98 / $574.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $27.40 / $27.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98