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Test Telling Apart Mirror-Image Forms of a Drug

Wisconsin rates for HCPCS 80374

A laboratory test that separates the two mirror-image forms of a drug in a sample. Some substances exist in a pair of forms that are chemically identical but built the opposite way round, and an ordinary test cannot tell them apart. Distinguishing them can show whether a positive result comes from a legitimate medicine or from a different substance that breaks down to look the same.

Rates data updated July 2026.

How much does Test Telling Apart Mirror-Image Forms of a Drug cost?

$22.91

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $29.51 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$4.79 to $48.98
FacilityA hospital or hospital-owned outpatient department$29.51$15.85 to $50.12

How much rates vary

Facilitymedian $30 · 10th to 90th $16 to $91Professionalmedian $22 · 10th to 90th $5 to $76
$2$5$10$20$50$100facility $30professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$51.29
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$30.20
Typical High
$74.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.13
Typical High
$42.66
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$85.11
Network Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$43.65
Quartz
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$54.95
Typical High
$79.43
Quartz
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$13.80
Typical High
$41.69

Where Wisconsin sits

The same service costs 2630.3 times more in North Dakota than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 10th of 51

$22.91

ND $79.43PA $0.03

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.