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Pennsylvania rates for HCPCS 84157

Protein Total Xcpt Refractometry Oth Src

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $17.28 / $49.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.28 / $4.24
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.98 / $4.98 / $501.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $24.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $5.33 / $13.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $4.59 / $6.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $3.20 / $5.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.29 / $16.85 / $42.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.68 / $3.68 / $3.85
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $4.74 / $10.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $16.52 / $49.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.31 / $16.52
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $5.56 / $13.04
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $4.59 / $6.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $2.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.48 / $6.96