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New York 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 $14 · 10th–90th $7$250%10%20%10th90th$14Professionalmedian $6 · 10th–90th $4$130%20%10th90th$6$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
$6.92 / $15.14 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $11.22 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $38.90 / $38.90
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $30.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $4.79 / $15.85
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.76 / $9.33
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.14 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $8.13 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $12.02
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $8.32 / $9.33
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $8.13 / $9.33