go back

Pennsylvania rates for HCPCS 87420

Iaad Ia Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.27 / $37.82 / $58.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.67 / $62.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.54 / $72.12 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $10.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $18.07 / $45.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $15.69 / $21.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $8.21 / $18.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.13 / $28.09 / $31.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.27 / $32.86 / $58.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $12.47 / $57.62
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.31 / $18.52 / $45.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $15.69 / $21.16
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.24 / $13.91 / $15.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $8.90 / $24.20