go back

Pennsylvania rates for HCPCS 86828

Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.99 / $175.73 / $268.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.10 / $51.99 / $61.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.89 / $243.99 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.07 / $50.07 / $50.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.19 / $83.39 / $187.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.53 / $67.70 / $95.61
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $37.86 / $86.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.16 / $186.43 / $294.69
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.51 / $38.51 / $38.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.56 / $175.00 / $268.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.43 / $52.64 / $265.11
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.97 / $85.47 / $212.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $67.70 / $91.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.59 / $64.19 / $64.19
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.59 / $64.19 / $64.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.64 / $32.64 / $65.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $38.51 / $107.52