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Pennsylvania rates for HCPCS 85999

Unlisted hematology and coagulation procedure

Facilitymedian $58 · 10th–90th $23$1860%10%20%10th90th$58Professionalmedian $6 · 10th–90th $4$64,5650%20%40%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $57.54 / $186.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $27.54 / $67.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $15.85 / $37.15
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $57.54 / $186.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.47 / $5.75
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.47 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $3.02