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Pennsylvania rates for HCPCS 86965

Pooling of platelets or other blood products

Facilitymedian $91 · 10th–90th $30–$4070%10%10th90th$91Professionalmedian $23 · 10th–90th $15–$340%20%10th90th$23$1.0$10.0$100.0$1.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $91.20 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $33.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $37.15 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.98 / $45.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.59 / $21.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $47.86 / $104.71
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $33.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.85 / $23.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.85 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $457.09 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $30.20