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Pennsylvania rates for HCPCS 84255

Assay Of Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.70 / $101.56 / $157.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $22.24 / $43.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $15.32 / $15.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.72 / $167.16 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.91 / $19.91 / $19.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $33.99 / $84.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $29.32 / $44.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $15.06 / $34.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.36 / $67.22 / $186.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $24.50 / $24.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.71 / $74.04 / $181.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $22.23 / $43.82
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $38.78 / $84.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.00 / $29.32 / $44.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.53 / $25.53 / $25.53
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.47 / $25.53 / $36.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $15.32 / $44.72