go back

Pennsylvania rates for HCPCS 86769

Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $100.33 / $217.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.28 / $42.13 / $84.26
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.81 / $42.13 / $117.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.86 / $32.86 / $40.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $54.26 / $122.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $48.40 / $66.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $24.86 / $57.04
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.28 / $80.58 / $169.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $33.70 / $33.70
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $96.90 / $197.17
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $84.26
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$819.61 / $881.56 / $1,109.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $54.76 / $140.16
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.04 / $48.40 / $60.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $42.13 / $42.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.07 / $42.13 / $42.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $25.28 / $65.30