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Pennsylvania rates for HCPCS 86684

Antibody; Haemophilus influenza

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.83 / $54.66 / $72.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.51 / $14.17 / $18.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.89 / $103.74 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $12.36 / $12.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $21.10 / $52.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $18.17 / $27.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $12.67 / $21.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.39 / $56.09 / $138.02
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $15.00 / $15.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.83 / $45.17 / $83.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $14.28 / $65.42
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.61 / $24.07 / $52.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $18.17 / $27.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $15.84 / $15.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $15.84 / $22.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $13.28 / $26.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $10.41 / $28.99