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New York rates for HCPCS 86403

Particle agglutination; screen, each antibody

Facilitymedian $23 · 10th–90th $10$510%10%20%10th90th$23Professionalmedian $9 · 10th–90th $5$300%10%20%10th90th$9$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
$11.22 / $22.91 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.12 / $30.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.17 / $26.30
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.48 / $11.48
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $28.84 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $16.60 / $66.07
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.18 / $31.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.00 / $21.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $9.77 / $13.80
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.89 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $9.55 / $25.70
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $5.13 / $24.55
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.80 / $10.96 / $32.36