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Pennsylvania rates for HCPCS 83664

Fetal Lung Maturity Lamellar Body Density

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $52.53 / $80.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $15.84 / $79.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.40 / $123.88 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.07 / $15.07 / $15.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.69 / $25.73 / $64.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $22.30 / $33.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.27 / $11.40 / $26.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.42 / $52.53 / $80.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.64 / $16.42 / $79.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.94 / $28.74 / $64.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $22.30 / $33.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.32 / $19.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $19.32 / $19.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $12.43 / $38.88