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Washington 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 $12 · 10th–90th $8–$450%10%20%10th90th$12Professionalmedian $7 · 10th–90th $5–$80%20%40%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 / $36.31 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $7.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.02 / $16.22
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.24 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $17.78 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $11.75
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.91
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $23.99
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $9.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.02 / $18.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.24 / $8.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $8.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.17 / $14.45