go back

Pennsylvania rates for HCPCS 86689

Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.67 / $52.62 / $84.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $17.29 / $25.46
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.61 / $126.75 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.71 / $25.77 / $64.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $22.30 / $33.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $15.48 / $26.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.96 / $38.96 / $38.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $50.88 / $84.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.93 / $17.42 / $79.92
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $29.40 / $64.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $22.30 / $33.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $19.35 / $19.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $19.35 / $27.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $11.36 / $11.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.58 / $33.90