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Vermont rates for HCPCS 85130

Chromogenic substrate assay

Facilitymedian $132 · 10th–90th $12–$2880%10%10th90th$132Professionalmedian $13 · 10th–90th $8–$170%50%10th90th$13$5.0$10.0$20.0$50.0$100.0$200.0

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
$12.88 / $12.88 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $131.83 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.98 / $20.42
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $14.13 / $32.36