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Pennsylvania rates for HCPCS 86361

T cells; absolute CD4 count

Facilitymedian $105 · 10th–90th $32–$2820%10%20%10th90th$105Professionalmedian $23 · 10th–90th $17–$350%50%10th90th$23$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
$34.67 / $107.15 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.60
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $186.21 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $40.74 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $34.67 / $64.57
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $23.44 / $38.90
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $30.20 / $46.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $87.10 / $257.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $19.95
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $39.81 / $77.62
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $20.89 / $32.36
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $1,071.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $58.88 / $338.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $34.67 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $26.92 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.95 / $46.77