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Pennsylvania rates for HCPCS 86790

Antibody Virus Not Elsewhere Specififed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $53.19 / $183.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.60 / $23.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $7.73 / $7.73
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.53 / $66.73 / $7,195.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.97 / $84.36 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.05 / $10.05 / $10.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.46 / $17.14 / $42.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $14.87 / $22.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.60 / $17.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.09 / $33.60 / $124.60
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $12.50 / $12.50
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.82 / $63.24 / $140.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $36.51 / $132.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $11.68 / $32.52
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.20 / $1,358.20 / $1,358.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $19.57 / $42.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $14.87 / $22.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.33 / $12.88 / $18.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.90 / $22.57