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Ohio 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 $11 · 10th–90th $7–$190%10%10th90th$11Professionalmedian $7 · 10th–90th $5–$170%20%10th90th$7$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$7.59 / $12.02 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.18 / $20.42
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $9.33
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $125.89 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $9.55 / $11.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $16.98
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.51 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $8.13 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $4.79 / $8.13