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Pennsylvania rates for HCPCS 81267

Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; without cell selection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.04 / $617.19 / $867.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.89 / $170.75 / $1,333.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.56 / $1,302.65 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.82 / $161.82 / $161.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.88 / $306.67 / $688.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.17 / $222.23 / $469.53
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.44 / $280.07 / $394.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.74 / $602.54 / $629.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.34 / $588.98 / $867.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.60 / $191.98 / $856.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.04 / $311.19 / $414.92
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.82 / $345.15 / $688.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.81 / $239.58 / $469.53
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.46 / $207.46 / $313.69
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.46 / $207.46 / $313.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.13 / $124.48 / $316.99