go back

Pennsylvania rates for HCPCS 99450

Basic life and/or disability examination that includes: Measurement of height, weight, and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sample and/or urinalysis complying with "chain of custody" protocols; and Completion of necessary documentation/certificates.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $70.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $181.97 / $190.55
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $70.79
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $63.10 / $234.42