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Pennsylvania rates for HCPCS 86381

Mitochondrial antibody (eg, M2), each

Facilitymedian $79 · 10th–90th $21–$1350%10%20%10th90th$79Professionalmedian $20 · 10th–90th $11–$620%20%10th90th$20$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
$21.38 / $81.28 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.95 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $25.70
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $39.81 / $724.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $123.03 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $33.11 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $23.44 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $37.15
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $43.65
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $61.66 / $117.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $16.60 / $19.05
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $33.88 / $79.43
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $23.99 / $87.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.95 / $30.20
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $549.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $25.70 / $42.66
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $25.70 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $39.81