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Pennsylvania rates for HCPCS 81375

HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.80 / $625.79 / $923.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.38 / $181.01 / $1,419.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.14 / $1,386.04 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.18 / $172.18 / $172.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.48 / $326.02 / $732.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.15 / $236.25 / $499.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.34 / $298.00 / $419.41
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.71 / $358.35 / $1,048.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.63 / $625.79 / $923.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.56 / $197.64 / $911.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.70 / $331.11 / $441.48
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.72 / $367.24 / $732.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.59 / $255.08 / $499.15
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.74 / $220.74 / $333.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.74 / $220.74 / $333.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.71 / $135.52 / $348.10