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New York rates for HCPCS 85175

Clot lysis time, whole blood dilution

Facilitymedian $35 · 10th–90th $11$580%10%10th90th$35Professionalmedian $11 · 10th–90th $3$300%10%10th90th$11$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
$13.18 / $35.48 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $15.14 / $29.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $8.13 / $27.54
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $20.42
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $44.67 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $14.13 / $97.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $20.42 / $45.71
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.13 / $39.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.24 / $21.38
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $38.02 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $20.42 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $11.22 / $38.90
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $17.38 / $23.44
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $16.22 / $23.44