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New York rates for HCPCS 85611

Prothrombin time; substitution, plasma fractions, each

Facilitymedian $8 · 10th–90th $3$170%10%20%10th90th$8Professionalmedian $3 · 10th–90th $2$80%20%10th90th$3$1.0$10.0$100.0$1.0K$10.0K

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
$3.47 / $7.94 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.02 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $10.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.04 / $9.33
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.98 / $3.98
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.98 / $3.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $8.91 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.37 / $28.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $4.57 / $10.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.75 / $7.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $6.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $3.98 / $11.75
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $4.79 / $6.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.82 / $8.91
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $4.57 / $12.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.17 / $13.49