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Virginia 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 $10 · 10th–90th $6–$350%10%20%10th90th$10Professionalmedian $6 · 10th–90th $5–$130%20%40%10th90th$6$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
$6.03 / $15.49 / $19.95
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
$32.36 / $42.66 / $50.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $13.18 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $19.95 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $9.55 / $11.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.77 / $12.02
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.37 / $9.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $9.33 / $20.42
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.33 / $20.42
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 / $4.07 / $8.13