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Kentucky rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $8 · 10th–90th $6–$190%10%20%10th90th$8Professionalmedian $6 · 10th–90th $5–$130%20%40%10th90th$6$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $8.13 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $7.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $144.54 / $46,773.51
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $12.88 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $38.90 / $38.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $8.13 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $8.13