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Missouri 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 $13 · 10th–90th $7–$150%20%10th90th$13Professionalmedian $7 · 10th–90th $5–$130%10%20%10th90th$7$5.0$10.0$20.0$50.0

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
$7.08 / $13.49 / $15.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $11.22 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $16.98 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $11.75
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $14.13 / $60.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $8.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $8.13 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $9.55