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Washington, DC rates for HCPCS 87101

Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail

Facilitymedian $16 · 10th–90th $5$470%20%10th90th$16Professionalmedian $7 · 10th–90th $5$410%20%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
$5.01 / $15.85 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $34.67
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $38.02 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.88 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $9.12 / $58.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $9.33 / $9.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $5.25 / $13.18