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New York rates for HCPCS P9604

Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Trip Charge. (Special Coverage Instructions Apply. See Mcm: 51141k)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.40 / $8.58 / $83.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $8.49 / $11.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $4.74 / $11.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $8.52 / $49.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $15.60 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $9.44 / $33.36
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $9.44 / $9.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $9.44 / $14.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $13.33 / $71.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $8.00 / $10.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $12.00 / $26.29
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.50 / $10.50 / $10.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $9.82 / $14.80