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Pennsylvania rates for HCPCS 86652

Antibody Encephalitis Eastern Equine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $35.86 / $55.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $11.95 / $23.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $86.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $10.29 / $10.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $17.55 / $43.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $15.28 / $23.27
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $8.11 / $17.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.51 / $27.51 / $155.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.21 / $35.86 / $57.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $11.97 / $54.47
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.83 / $20.03 / $43.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $15.28 / $23.27
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.19 / $13.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $13.19 / $18.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $11.06 / $22.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $8.18 / $23.10