Provision of test materials and equipment for home INR monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include four tests
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $138.04
Professional
$41.69
$69.18
$138.04
Aetna
Facility/Professional
Professional
Modifier
52
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Professional
52
$22.91
$22.91
$22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $117.49 / $181.97
Professional
$47.86
$117.49
$181.97
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $95.50
Professional
$60.26
$72.44
$95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $63.10 / $141.25
Professional
$29.51
$63.10
$141.25
See more rates by state
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