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Pennsylvania rates for HCPCS Q4213

Ascent, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $57.54 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $60.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $58.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $58.88 / $58.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $67.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $69.18 / $75.86