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New York rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $21 · 10th–90th $11$350%10%20%10th90th$21Professionalmedian $9 · 10th–90th $5$200%20%10th90th$9$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
$12.02 / $22.39 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.91 / $17.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.24 / $23.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $12.02
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $26.30 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.98 / $79.43
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.30 / $32.36
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $8.32 / $22.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.22 / $12.59
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $22.39 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $26.30
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $13.80 / $28.18
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $33.11