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Pennsylvania rates for HCPCS Q9963

Hocm 350-399mg/Ml Iodine,1ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $47.52 / $345.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $18.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.78 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.22 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.70 / $2.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $39.00 / $359.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $18.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.35 / $0.51
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.22 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.47