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Pennsylvania rates for HCPCS 78110

Plasma Vol Radiopharm Vol Dilution Spx 1 Sample

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.42 / $123.70 / $3,551.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $66.23 / $99.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.90 / $69.42 / $160.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.73 / $287.82 / $4,206.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.12 / $82.05 / $142.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.93 / $97.93 / $110.28
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.42 / $128.87 / $1,345.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.13 / $70.42 / $278.16
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.73 / $261.23 / $4,206.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.84 / $82.70 / $144.22
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $65.52 / $65.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $65.52 / $71.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.43 / $77.92 / $125.02