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South Carolina 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 $794 · 10th–90th $275–$1,8620%10%10th90th$794Professionalmedian $309 · 10th–90th $295–$4680%50%10th90th$309$200.0$500.0$1.0K$2.0K

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
$275.42 / $954.99 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $467.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $416.87 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $1,000.00 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $562.34
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $389.05 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $234.42 / $389.05