go back

Definitive Test For A Substance Without Its Own Test

Wisconsin rates for HCPCS 80377

A laboratory test that confirms and measures a specific drug or substance in a sample when that substance has no standard named test of its own. The laboratory identifies exactly what is present and how much, rather than simply flagging that something from a broad group may be there.

Facilitymedian $23 · 10th–90th $17$1120%10%20%10th90th$23Professionalmedian $23 · 10th–90th $3$780%20%10th90th$23$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$316.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$22.91
Typical High
$37.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.75
Typical High
$74.13
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$43.65
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$17.38
Typical High
$112.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.80
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
Quartz
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$54.95
Typical High
$79.43
Quartz
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$151.36
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
Security Health
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$7.76
Typical High
$7.76
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
$14.13
Typical High
$41.69