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Pennsylvania 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
$8.42 / $26.31 / $63.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $8.42 / $11.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $50.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $13.20 / $13.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.69 / $8.52 / $8.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $16.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.65 / $15.64 / $26.48
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $82.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $24.56 / $62.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $8.22 / $11.30
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $8.52 / $8.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.73 / $11.10 / $11.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $11.10 / $11.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $11.85 / $20.00