go back

Pennsylvania rates for HCPCS 87188

Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $18.82 / $29.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $16.92 / $29.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.47 / $43.46 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $5.18 / $5.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $8.85 / $21.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $7.85 / $11.42
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $4.55 / $8.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $39.07 / $48.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.64 / $18.18 / $29.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $6.00 / $29.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $10.08 / $21.73
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $7.85 / $11.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.64 / $6.64 / $6.64
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.64 / $9.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $4.12 / $11.63