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New Jersey rates for HCPCS 85175

Clot lysis time, whole blood dilution

Facilitymedian $27 · 10th–90th $9–$1350%10%20%10th90th$27Professionalmedian $14 · 10th–90th $3–$230%20%10th90th$14$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$8.71 / $26.92 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.14 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $44.67 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $8.91 / $24.55
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $9.55 / $12.02
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.13 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $18.20 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $10.23 / $13.18