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Pennsylvania rates for HCPCS A4651

Calibrated Microcapillary Tube Each (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $44.45 / $254.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.06
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.30 / $1.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.08 / $63.08 / $63.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.73 / $51.41 / $254.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.06
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50