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New York rates for HCPCS 85301

Clotting inhibitors or anticoagulants; antithrombin III, antigen assay

Facilitymedian $20 · 10th–90th $9$430%10%20%10th90th$20Professionalmedian $9 · 10th–90th $5$190%20%40%10th90th$9$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$9.12 / $20.42 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.33 / $15.85
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.62 / $25.12
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $10.72 / $10.72
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $23.44 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $15.49 / $77.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $14.13 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $20.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.72 / $16.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $41.69 / $144.54
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $20.42 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $8.91 / $24.55
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $26.30
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $34.67