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Pennsylvania rates for HCPCS 86757

Antibody Rickettsia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.45 / $96.75 / $350.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $17.55 / $66.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
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
$33.70 / $63.54 / $209.51
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $15.06 / $18.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.10 / $84.62 / $371.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $16.88 / $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
Professional
Modifier
Low / Median / High Price
$8.71 / $12.72 / $35.40