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Pennsylvania rates for HCPCS 86612

Antibody; Blastomyces

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $36.67 / $102.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $11.70 / $25.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.06 / $84.50 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.06 / $10.06 / $10.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.48 / $17.19 / $42.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $14.87 / $22.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.11 / $17.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.63 / $29.12 / $117.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $12.50 / $12.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $36.58 / $100.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $11.62 / $53.28
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.64 / $19.60 / $42.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $14.87 / $22.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $12.90 / $12.90
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.35 / $12.90 / $18.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.16 / $6.45 / $8.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $7.74 / $22.45