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New York rates for HCPCS 85397

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

Facilitymedian $54 · 10th–90th $21–$930%10%10th90th$54Professionalmedian $23 · 10th–90th $6–$460%10%20%10th90th$23$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
$23.44 / $53.70 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $25.12 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $12.30 / $23.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $30.90
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $30.90 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $66.07 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $43.65 / $147.91
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $38.02 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.38 / $60.26
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $26.30 / $37.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $104.71 / $109.65
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $57.54 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $33.88 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $18.62 / $69.18
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $35.48
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $26.30 / $38.02