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Pennsylvania rates for HCPCS 86384

Nitroblue tetrazolium dye test (NTD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $37.01 / $56.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $11.02 / $56.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.44 / $74.59 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $10.62 / $10.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $17.70 / $45.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $15.30 / $20.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.02 / $18.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $37.01 / $56.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $11.16 / $56.21
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $18.13 / $45.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $15.30 / $19.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.61 / $13.61 / $13.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $13.61 / $16.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $8.17 / $23.68