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Pennsylvania rates for HCPCS 81560

Transplantation medicine (allograft rejection, pediatric liver and small bowel), measurement of donor and third-party-induced CD154+T-cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.99 / $1,754.19 / $2,679.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.51 / $518.99 / $544.62
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.77 / $499.77 / $499.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.96 / $832.94 / $2,126.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.94 / $301.94 / $801.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.74 / $378.03 / $867.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.99 / $1,754.19 / $2,679.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.51 / $525.40 / $2,646.21
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.96 / $832.94 / $2,126.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.94 / $723.43 / $920.47
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.73 / $640.73 / $640.73
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.84 / $640.73 / $640.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.11 / $384.44 / $1,089.24