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Maryland rates for HCPCS 87101

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

Facilitymedian $55 · 10th–90th $5–$740%20%10th90th$55Professionalmedian $7 · 10th–90th $4–$170%20%10th90th$7$5.0$10.0$20.0$50.0$100.0

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
$22.91 / $54.95 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.92 / $16.98
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.17 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $5.37 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.41 / $19.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.91 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.63 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $4.57 / $8.32
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $5.37 / $11.48