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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
$20.00 / $20.00 / $20.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $71.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.33 / $186.27 / $186.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $73.00 / $189.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $71.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.60 / $129.60 / $129.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $73.00 / $189.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.59 / $85.59 / $85.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.59 / $85.59 / $85.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.00 / $230.00 / $230.00