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New Hampshire rates for HCPCS 85175

Clot lysis time, whole blood dilution

Facilitymedian $51 · 10th–90th $17–$1290%10%10th90th$51Professionalmedian $15 · 10th–90th $3–$390%10%10th90th$15$5.0$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
$16.60 / $51.29 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.03 / $17.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $39.81 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $64.57 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $16.98 / $58.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $35.48 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.30 / $44.67