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New Jersey rates for HCPCS 86231

Endomysial antibody (EMA), each immunoglobulin (Ig) class

Facilitymedian $25 · 10th–90th $12–$2400%10%10th90th$25Professionalmedian $10 · 10th–90th $7–$140%50%10th90th$10$5.0$20.0$100.0$500.0$2.0K$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
$12.02 / $24.55 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.47 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.59
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $36.31 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $26.92 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $12.88 / $18.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.03 / $7.24
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.77 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $12.02 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.24 / $12.02