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Indiana rates for HCPCS 0310U

Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NT-proBNP, C-reactive protein, and T-uptake), plasma, algorithm reported as a risk score for KD

Facilitymedian $550 · 10th–90th $389–$1,2880%20%10th90th$550Professionalmedian $316 · 10th–90th $6–$3800%20%40%10th90th$316$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$446.68 / $616.60 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $323.59 / $380.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.46 / $302.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $5,623.41 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $741.31 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $478.63 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $426.58