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Pennsylvania rates for HCPCS 84315

Specific Gravity Except Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.66 / $8.92 / $13.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.66 / $3.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.64 / $16.41 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.16 / $4.26 / $10.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $3.72 / $4.65
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.94 / $4.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.69 / $18.69 / $18.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $8.92 / $13.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.25 / $2.66 / $13.55
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $4.36 / $10.87
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $3.72 / $4.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.28 / $3.28 / $3.28
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.89 / $3.28 / $3.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $2.00 / $5.71