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Virginia rates for HCPCS 0042U

Borrelia burgdorferi, antibody detection of 12 recombinant protein groups, by immunoblot, IgG

Facilitymedian $32 · 10th–90th $12–$850%10%10th90th$32Professionalmedian $12 · 10th–90th $8–$170%10%20%10th90th$12$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $36.31 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $19.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $89.13 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $12.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.45 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $33.88 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $19.05 / $23.99
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $17.38 / $29.51
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $36.31
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $33.11
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.38 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.38 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.71 / $19.05