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Illinois rates for HCPCS 85397

Coagulation and fibrinolysis, functional activity, not otherwise specified (eg, ADAMTS-13), each analyte

Facilitymedian $63 · 10th–90th $31–$2820%5%10%10th90th$63Professionalmedian $25 · 10th–90th $3–$450%10%20%10th90th$25$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
$31.62 / $63.10 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $107.15 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $21.38 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $35.48 / $46.77
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $69.18 / $288.40
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $30.90 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $26.30