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North Carolina rates for HCPCS 85397

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

Facilitymedian $93 · 10th–90th $25–$2690%10%10th90th$93Professionalmedian $24 · 10th–90th $17–$370%20%10th90th$24$10.0$20.0$50.0$100.0$200.0

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
$25.70 / $97.72 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.50 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $97.72 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $19.05 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $64.57 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.22 / $41.69
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $44.67
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $32.36
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $30.90 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.60 / $33.88
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91