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Pennsylvania rates for HCPCS Q4112

Cymetra, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.68 / $915.68 / $915.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.90 / $915.68 / $950.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.59 / $904.99 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.99 / $904.99 / $904.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.99 / $946.12 / $1,180.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.68 / $915.68 / $1,547.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $915.68 / $1,089.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.40 / $663.00 / $765.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$872.08 / $872.08 / $872.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $876.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $1,204.33