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Pennsylvania rates for HCPCS 87491

Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.88 / $133.01 / $303.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.42 / $41.97 / $220.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $35.09 / $35.09
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.34 / $139.22 / $1,805.60
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.81 / $29.17 / $39.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.01 / $235.88 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $27.37 / $27.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $53.31 / $116.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $37.51 / $79.23
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $47.37 / $66.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.98 / $95.53 / $205.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.95 / $46.07 / $71.55
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.86 / $131.38 / $299.91
Independence Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.81 / $23.73 / $39.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.20 / $139.31 / $326.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.42 / $46.17 / $144.91
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.26 / $219.33 / $305.10
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.83 / $51.93 / $70.18
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.00 / $58.38 / $116.27
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.05 / $39.78 / $79.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.09 / $35.09 / $35.09
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.09 / $35.09 / $35.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $21.53 / $55.32