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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
$549.54 / $1,659.59 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $812.83
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $501.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $977.24 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $616.60 / $794.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $933.25
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,122.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,584.89 / $2,691.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $2,290.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $645.65 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $645.65 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $380.19 / $954.99