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Pennsylvania rates for HCPCS 85301

Clotting inhibitors or anticoagulants; antithrombin III, antigen assay

Facilitymedian $32 · 10th–90th $11$630%20%10th90th$32Professionalmedian $9 · 10th–90th $8$170%50%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
$11.48 / $37.15 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $16.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $75.86 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $16.60 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $13.80 / $26.30
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $10.72 / $15.49
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $18.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $33.88 / $97.72
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.24 / $8.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $16.60 / $31.62
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $16.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.60 / $16.60
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.22 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.72 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $8.13 / $18.62