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Missouri 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 $617 · 10th–90th $380–$7590%20%10th90th$617Professionalmedian $339 · 10th–90th $6–$4900%10%20%10th90th$339$10.0$50.0$200.0$1.0K

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
$380.19 / $660.69 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $338.84 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $288.40 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $812.83 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $562.34
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $676.08 / $1,862.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $389.05 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $457.09