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Iowa rates for HCPCS 86235

Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody

Facilitymedian $79 · 10th–90th $18–$9120%10%10th90th$79Professionalmedian $59 · 10th–90th $13–$6610%5%10%10th90th$59$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$19.50 / $85.11 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $95.50 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $34.67 / $42.66
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $34.67 / $79.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $18.62 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.88 / $22.91
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $12.02 / $41.69
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $17.78