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Pennsylvania rates for HCPCS 87197

Serum bactericidal titer (Schlichter test)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.17 / $40.84 / $62.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $12.17 / $62.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.61 / $76.11 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $11.72 / $11.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $20.00 / $49.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $16.93 / $26.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $8.86 / $20.34
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.77 / $40.84 / $62.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $12.77 / $62.03
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.05 / $22.82 / $49.98
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $16.93 / $26.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.02 / $15.02 / $15.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $15.02 / $16.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $18.02 / $18.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.31 / $27.49