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Pennsylvania rates for HCPCS 86381

Mitochondrial Antibody Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.63 / $84.54 / $114.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $20.87 / $46.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $15.27 / $25.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.90 / $114.15 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.85 / $19.85 / $19.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $32.29 / $73.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $31.98
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.71 / $15.02 / $34.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.34 / $61.59 / $112.85
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $17.82 / $19.61
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.62 / $80.08 / $134.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.34 / $20.18 / $60.13
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.04 / $31.44 / $84.76
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $28.69 / $36.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.45 / $25.45 / $28.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.40 / $25.45 / $28.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $15.78 / $39.45