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North Carolina rates for HCPCS 85611

Prothrombin time; substitution, plasma fractions, each

Facilitymedian $12 · 10th–90th $3–$1000%10%20%10th90th$12Professionalmedian $3 · 10th–90th $2–$50%50%10th90th$3$2.0$5.0$10.0$20.0$50.0$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
$3.16 / $12.59 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.75 / $2.75
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.57 / $3.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.69 / $8.13 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.69 / $5.89
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $7.59 / $38.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.55 / $7.76
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $8.91 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.04 / $3.98 / $6.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.75 / $5.50
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26