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Pennsylvania rates for HCPCS 87109

Culture, mycoplasma, any source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $63.96 / $176.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $13.85 / $26.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $9.23 / $9.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.61 / $100.78 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.11 / $20.49 / $51.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $17.76 / $27.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.08 / $20.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.28 / $38.97 / $150.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $15.00 / $15.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $57.71 / $190.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $13.85 / $36.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $23.36 / $51.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $17.76 / $27.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.39 / $15.39 / $15.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.54 / $15.39 / $21.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $10.00 / $30.97