go back

Pennsylvania rates for HCPCS 82787

Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $80.04 / $455.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.81 / $14.32 / $29.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $31.80 / $1,566.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.45 / $52.52 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $6.26 / $6.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.27 / $10.67 / $26.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $9.44 / $13.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $5.96 / $10.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.57 / $19.87 / $131.31
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $7.50 / $7.50
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $30.06 / $70.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.15 / $73.59 / $490.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $13.98 / $33.11
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.02 / $451.02 / $451.02
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $12.19 / $26.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $9.44 / $13.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $8.02 / $8.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $8.02 / $11.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $5.27 / $14.68