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Pennsylvania rates for HCPCS 82104

Alpha-1-antitrypsin; phenotype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.97 / $59.36 / $97.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $12.57 / $16.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $8.68 / $8.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.91 / $94.68 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.28 / $11.28 / $11.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.51 / $19.26 / $47.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $16.93 / $25.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $10.28 / $19.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $38.90 / $78.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $14.00 / $23.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $49.88 / $125.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.28 / $12.59 / $59.72
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $21.96 / $47.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $16.93 / $25.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.46 / $14.46 / $14.46
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $14.46 / $20.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.44 / $26.46