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New York rates for HCPCS 86361

T cells; absolute CD4 count

Facilitymedian $58 · 10th–90th $23–$1170%10%20%10th90th$58Professionalmedian $23 · 10th–90th $13–$480%20%10th90th$23$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$25.70 / $61.66 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $23.99 / $38.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $61.66
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $26.92 / $26.92
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.92 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $63.10 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $38.90 / $177.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $81.28
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $18.62 / $52.48
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $26.92 / $35.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $67.61 / $93.33
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $32.36 / $43.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $20.42 / $60.26
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.44 / $64.57
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $28.18 / $95.50