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New York rates for HCPCS 86305

Human epididymis protein 4 (HE4)

Facilitymedian $38 · 10th–90th $18$630%10%10th90th$38Professionalmedian $16 · 10th–90th $10$370%10%20%10th90th$16$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
$17.78 / $38.90 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $10.23 / $46.77
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $20.89
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $44.67 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $39.81 / $100.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $26.92 / $67.61
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.45 / $40.74
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $30.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $43.65 / $100.00
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $25.12 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $16.22 / $46.77
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $58.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $58.88