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Pennsylvania rates for HCPCS 86891

Autologous blood or component, collection processing and storage; intra- or postoperative salvage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.65 / $363.86 / $926.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.80 / $107.65 / $130.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $50.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $144.15 / $438.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $119.36 / $171.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.76 / $79.20 / $181.77
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.20 / $861.20 / $861.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.32 / $321.82 / $593.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.80 / $107.65 / $204.54
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.87 / $144.15 / $438.99
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.42 / $119.36 / $158.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.49 / $53.49 / $55.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.49 / $53.49 / $55.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.83 / $2,134.58 / $2,775.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.18 / $81.97 / $166.82