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Maryland rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $8 · 10th–90th $5–$150%20%10th90th$8Professionalmedian $9 · 10th–90th $6–$150%20%10th90th$9$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $14.79
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.55 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $11.48 / $28.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.80 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.01 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.08 / $11.22
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $8.13 / $17.78