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Pennsylvania rates for HCPCS 84165

Protein Electrophoretic Fractj&Quantj Serum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $45.09 / $84.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $9.65 / $17.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $6.44 / $10.74
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.34 / $49.95 / $442.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.16 / $70.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $8.38 / $8.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $14.30 / $35.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $18.63 / $43.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $8.08 / $14.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $29.58 / $62.80
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.33 / $10.24
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $47.14 / $107.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $44.36 / $98.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $9.72 / $31.59
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.04 / $891.81 / $1,240.61
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $16.32 / $35.86
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.56 / $21.48 / $34.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $10.74 / $10.74
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $10.74 / $19.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.83 / $7.06 / $18.82