go back

Pennsylvania rates for HCPCS 87190

Susceptibility studies, antimicrobial agent; mycobacteria, proportion method, each agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $18.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $12.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.81 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $10.96 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $7.24 / $10.96
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $6.31 / $10.47
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.24 / $12.59
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $18.20 / $31.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $6.03 / $21.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $8.91 / $8.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $7.24 / $8.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $7.24 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.68 / $13.49