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Pennsylvania rates for HCPCS 86738

Antibody; mycoplasma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $102.30 / $193.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $22.76 / $34.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.80 / $86.74 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $17.64 / $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
$6.09 / $10.59 / $17.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $37.02 / $84.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.50 / $12.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $59.60 / $217.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $20.37 / $45.67
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.86 / $20.11 / $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
$13.24 / $13.24 / $13.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $13.24 / $18.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $8.11 / $24.23