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Iowa rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $19 · 10th–90th $9–$330%10%10th90th$19Professionalmedian $10 · 10th–90th $7–$280%20%10th90th$10$10.0$20.0$50.0$100.0

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
$8.91 / $22.39 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $22.91 / $28.18
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $21.38 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $15.49 / $37.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.30 / $30.90
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.45 / $15.49
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $30.20
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.02 / $12.02