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Wisconsin rates for HCPCS 81554

Pulmonary disease (idiopathic pulmonary fibrosis [IPF]), mRNA, gene expression analysis of 190 genes, utilizing transbronchial biopsies, diagnostic algorithm reported as categorical result (eg, positive or negative for high probability of usual interstitial pneumonia [UIP])

Facilitymedian $14,454 · 10th–90th $5,495$25,7040%20%10th90th$14,454Professionalmedian $5,129 · 10th–90th $2,188$16,5960%10%20%10th90th$5,129$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$6,606.93 / $12,022.64 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,677.35 / $7,079.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,454.40 / $14,791.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $17,782.79 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $8,128.31 / $16,982.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $22,908.68 / $34,673.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32,359.37 / $32,359.37 / $36,307.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $6,606.93 / $19,054.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,311.31 / $16,982.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $4,365.16
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,606.93 / $15,848.93
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $8,709.64 / $12,882.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,709.64 / $12,882.50 / $17,782.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $25,703.96 / $25,703.96
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $21,877.62 / $26,915.35
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $5,495.41 / $11,748.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,495.41 / $17,782.79 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,365.16 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,311.31 / $8,317.64