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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
$5.92 / $19.88 / $30.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $5.92 / $15.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.49 / $37.00 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.70 / $5.70 / $5.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $9.50 / $23.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $8.42 / $10.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.85 / $9.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.21 / $19.88 / $30.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $5.92 / $30.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $9.73 / $23.91
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $8.42 / $10.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $7.31 / $8.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $9.00 / $9.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.68 / $13.89