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Wisconsin rates for HCPCS 85301

Clotting inhibitors or anticoagulants; antithrombin III, antigen assay

Facilitymedian $30 · 10th–90th $10–$2140%10%20%10th90th$30Professionalmedian $10 · 10th–90th $5–$430%10%10th90th$10$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$12.02 / $29.51 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.55 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $28.84 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $43.65
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.49 / $33.88
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $23.44 / $87.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.23 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $24.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $30.90
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $17.78 / $30.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $26.92 / $275.42
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $144.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $10.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $50.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $9.55 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.71 / $24.55