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New York rates for HCPCS 86231

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

Facilitymedian $26 · 10th–90th $10$550%10%10th90th$26Professionalmedian $10 · 10th–90th $5$190%20%40%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$10.23 / $26.30 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.72 / $17.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $21.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $12.02
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $15.14 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $58.88 / $58.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $33.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.51 / $23.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.00 / $13.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $30.90 / $53.70
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.91 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.41 / $26.92
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $8.71 / $14.45
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.23 / $14.79