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New Jersey rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $11 · 10th–90th $10–$580%20%40%10th90th$11Professionalmedian $6 · 10th–90th $4–$100%50%10th90th$6$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$10.23 / $10.72 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $18.20 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $10.00 / $12.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.80 / $4.79
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9,332.54 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $8.13 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.79 / $8.13