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New Jersey rates for HCPCS 86738

Antibody; mycoplasma

Facilitymedian $51 · 10th–90th $17$2570%10%20%10th90th$51Professionalmedian $15 · 10th–90th $9$240%20%10th90th$15$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$17.38 / $51.29 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $23.99
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $138.04 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $28.84 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $12.02 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.61 / $14.79
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $13.18 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.94 / $19.50