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Utah rates for HCPCS 85175

Clot lysis time, whole blood dilution

Facilitymedian $31 · 10th–90th $5$410%20%10th90th$31Professionalmedian $15 · 10th–90th $4$210%10%20%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
$5.01 / $30.90 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $15.14 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $21.38 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $8.71 / $29.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $83.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $17.38 / $18.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $64.57
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $17.78 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $8.51 / $12.30