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New York rates for HCPCS 85530

Heparin-protamine tolerance test

Facilitymedian $25 · 10th–90th $13$400%10%10th90th$25Professionalmedian $10 · 10th–90th $6$250%10%20%10th90th$10$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
$13.18 / $25.12 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $20.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.76 / $30.20
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.18 / $13.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $32.36 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $19.50 / $95.50
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $16.98 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.12 / $25.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.49 / $18.62
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $9.55 / $29.51
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $43.65
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $44.67