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Vermont rates for HCPCS 86162

Complement; total hemolytic (CH50)

Facilitymedian $224 · 10th–90th $34–$3090%10%20%10th90th$224Professionalmedian $30 · 10th–90th $14–$350%50%10th90th$30$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $173.78 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $229.09 / $309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $263.03 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $29.51 / $35.48
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $23.99 / $54.95