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Ohio rates for HCPCS 86972

Pretreatment of RBCs for use in RBC antibody detection, identification, and/or compatibility testing; by density gradient separation

Facilitymedian $46 · 10th–90th $29–$950%10%10th90th$46Professionalmedian $28 · 10th–90th $17–$420%20%10th90th$28$1.0$5.0$20.0$100.0$500.0

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
$28.84 / $45.71 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.84 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $20.42 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.51 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.95 / $74.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.78 / $2.51 / $147.91
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $19.50 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $37.15
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $134.90 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.78 / $25.70