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Pennsylvania rates for HCPCS 38242

Allogeneic lymphocyte infusions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.58 / $122.58 / $882.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,736.00 / $4,444.00 / $15,949.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.72 / $679.72 / $679.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.58 / $364.06 / $1,754.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.73 / $85.55 / $121.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.00 / $2,391.00 / $6,000.00