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Pennsylvania rates for HCPCS 86788

Antibody; West Nile virus, IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.32 / $53.40 / $129.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $14.32 / $29.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $10.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.97 / $110.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $13.14 / $13.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $22.43 / $55.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $19.41 / $29.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $9.94 / $22.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $44.78 / $85.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $16.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.32 / $45.82 / $128.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $14.16 / $69.59
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $25.59 / $55.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $19.41 / $29.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.85 / $16.85 / $16.85
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.83 / $16.85 / $21.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.78 / $29.52