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New Jersey rates for HCPCS 87185

Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme

Facilitymedian $19 · 10th–90th $6–$490%10%10th90th$19Professionalmedian $4 · 10th–90th $3–$80%20%40%10th90th$4$1.0$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
$6.03 / $18.62 / $40.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.94
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $31.62 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $10.72 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.17 / $13.18
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $2.24 / $4.57
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.01 / $5.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $4.79 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.91 / $2.82 / $6.92