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Pennsylvania rates for HCPCS 83704

Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.69 / $89.92 / $142.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $28.25 / $56.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $20.51 / $20.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.12 / $206.63 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.67 / $26.67 / $26.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.47 / $44.44 / $113.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $39.24 / $55.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $20.17 / $46.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.75 / $80.05 / $166.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.51 / $30.50 / $30.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.06 / $87.18 / $142.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.54 / $28.39 / $141.21
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.20 / $96.62 / $131.57
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.89 / $47.93 / $113.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $39.24 / $55.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.19 / $34.19 / $34.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.09 / $34.19 / $40.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.45 / $26.45 / $52.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $20.73 / $58.12