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Pennsylvania rates for HCPCS 80069

Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $48.14 / $233.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.97 / $14.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.21 / $8.68
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $33.47 / $1,324.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.80 / $56.87 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $27.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.71 / $11.55 / $29.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $9.94 / $15.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $6.94 / $11.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.03 / $24.44 / $75.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $7.38 / $10.65
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.98 / $31.64 / $74.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $38.83 / $213.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $7.03 / $35.85
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.32 / $179.08 / $249.12
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.81 / $13.20 / $29.34
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $9.91 / $15.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $12.36 / $12.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $5.33 / $15.88