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Illinois rates for HCPCS 85611

Prothrombin time; substitution, plasma fractions, each

Facilitymedian $8 · 10th–90th $4–$430%5%10%10th90th$8Professionalmedian $3 · 10th–90th $3–$80%20%40%10th90th$3$1.0$5.0$20.0$100.0

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
$3.98 / $8.13 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.02 / $8.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $11.48 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.02 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $8.91 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $4.57 / $7.08
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $7.59 / $87.10
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
$5.13 / $5.13 / $5.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $3.98 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.51 / $3.98