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Pennsylvania rates for HCPCS 78122

Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.64 / $26.00 / $62.85
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.26 / $23.26 / $23.26
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.64 / $36.72 / $64.22
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.26 / $23.26 / $23.26
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.29 / $20.29 / $24.50