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Pennsylvania rates for HCPCS J7308

Aminolevulinic Acid Hcl Top

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.09 / $835.00 / $1,197.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $396.53 / $550.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.57 / $425.38 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.89 / $406.89 / $406.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $502.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.31 / $377.49 / $471.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.81 / $712.08 / $1,197.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $407.93 / $790.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.90 / $392.09 / $401.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $392.09 / $502.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.60 / $390.60 / $453.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.60 / $390.60 / $453.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $490.11