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Pennsylvania rates for HCPCS 85175

Clot Lysis Time Whole Blood Dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $55.39 / $85.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $16.50 / $84.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.93 / $29.78 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $15.89 / $15.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $26.36 / $59.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.83 / $11.70 / $29.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $12.02 / $27.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.50 / $48.12 / $84.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.83 / $16.70 / $84.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $26.08 / $67.37
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.80 / $19.51 / $29.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.37 / $20.37 / $20.37
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.47 / $20.37 / $20.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.71 / $9.17 / $30.56