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New York rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Facilitymedian $51 · 10th–90th $24$720%10%20%10th90th$51Professionalmedian $21 · 10th–90th $12$360%10%20%10th90th$21$0.5$5.0$50.0$500.0$5.0K$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
$23.99 / $56.23 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $36.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $38.90
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $51.29 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $114.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $93.33
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.45 / $46.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.91 / $29.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $107.15 / $109.65
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $45.71 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $28.84 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $43.65
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $26.92
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $23.44 / $29.51