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Pennsylvania rates for HCPCS 81268

Chimerism (engraftment) analysis, post transplantation specimen (eg, hematopoietic stem cell), includes comparison to previously performed baseline analyses; with cell selection (eg, CD3, CD33), each cell type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.24 / $739.34 / $1,140.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.98 / $213.85 / $1,676.88
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.18 / $539.82 / $5,415.92
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,228.83 / $1,637.48 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.42 / $203.42 / $203.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.48 / $385.04 / $864.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.27 / $279.01 / $589.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.16 / $352.07 / $495.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.75 / $545.47 / $1,982.35
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.79 / $524.32 / $1,196.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.84 / $739.34 / $1,153.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.98 / $233.50 / $1,077.06
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.97 / $391.19 / $521.58
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.76 / $433.86 / $864.94
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.37 / $301.24 / $589.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.79 / $260.79 / $394.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.79 / $260.79 / $394.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.53 / $156.47 / $398.47