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Wisconsin rates for HCPCS 0097U

Gastrointestinal pathogen, multiplex reverse transcription and multiplex amplified probe technique, multiple types or subtypes, 22 targets (Campylobacter [C. jejuni/C. coli/C. upsaliensis], Clostridium difficile [C. difficile] toxin A/B, Plesiomonas shigelloides, Salmonella, Vibrio [V.parahaemolyticus/V. vulnificus/V. cholerae], including specific identification of Vibrio cholerae, Yersinia enterocolitica, Enteroaggregative Escherichia coli [EAEC], Enteropathogenic Escherichia coli [EPEC], Enterotoxigenic Escherichia coli [ETEC] lt/st, Shigalike toxin-producing Escherichia coli [STEC] stx1/stx2 [including specific identification of the E. coli O157 serogroup within STEC], Shigella/Enteroinvasive Escherichia coli [EIEC], Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, Giardia lamblia [also known as G. intestinalis and G. duodenalis], adenovirus F 40/41, astrovirus, norovirus GI/GII, rotavirus A, sapovirus [Genogroups I, II, IV, and V])

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.27 / $1,104.63 / $1,781.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.23 / $644.16 / $732.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.54 / $894.54 / $894.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.64 / $1,270.64 / $1,270.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.54 / $894.54 / $894.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.10 / $1,270.64 / $1,270.64