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Pennsylvania rates for HCPCS 0310U

Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NT-proBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.14 / $1,348.33 / $1,634.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.45 / $316.51 / $332.14
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.79 / $304.79 / $304.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.61 / $507.98 / $1,296.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.75 / $230.54 / $529.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.10 / $1,107.79 / $1,634.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.45 / $320.42 / $1,613.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.61 / $507.98 / $1,296.32
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.93 / $448.93 / $561.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.75 / $390.75 / $390.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.86 / $390.75 / $390.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.12 / $234.45 / $664.28