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Pennsylvania rates for HCPCS 83789

Mass spectrometry and tandem mass spectrometry (eg, MS, MS/MS, MALDI, MS-TOF, QTOF), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $89.15 / $178.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.06 / $16.37 / $32.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.08 / $118.27 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $18.80 / $18.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $31.34 / $80.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.34 / $27.16 / $36.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $14.22 / $32.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.35 / $62.38 / $157.53
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.99 / $15.99 / $17.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.53 / $65.56 / $206.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.19 / $17.55 / $99.57
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.93 / $1,950.20 / $2,383.01
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $32.10 / $80.41
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.34 / $27.16 / $35.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.11 / $24.11 / $25.71
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $24.11 / $25.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $14.47 / $40.99