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Pennsylvania rates for HCPCS 86902

Blood Type Antigen Donor Reagent Serum Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $47.63 / $2,763.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $5.14 / $26.23
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.10 / $44.41 / $23,409.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $15.84 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $4.95 / $4.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $8.26 / $20.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $6.77 / $9.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $3.75 / $8.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.13 / $50.61 / $759.82
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.32 / $44.41 / $7,567.15
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.45 / $59.94 / $2,219.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $5.21 / $40.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.13 / $8.26 / $20.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.33 / $6.77 / $9.28
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $6.35 / $6.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.11 / $6.35 / $6.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.77 / $3.81 / $8.34