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Pennsylvania rates for HCPCS 87496

Iadna Cytomegalovirus Amplified Probe Tq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.84 / $144.91 / $543.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.05 / $29.63 / $46.17
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
$20.60 / $33.71 / $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
$65.75 / $124.28 / $302.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.81 / $121.07 / $526.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.32 / $40.99 / $144.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.50 / $49.40 / $58.30
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 / $37.64 / $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 / $68.59