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Maine rates for HCPCS 87101

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

Facilitymedian $30 · 10th–90th $8–$1580%20%10th90th$30Professionalmedian $7 · 10th–90th $5–$100%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
$7.76 / $30.20 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.92 / $10.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $72.44 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $4.37 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $10.72 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.94 / $11.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.76 / $9.33
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.91 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.76 / $15.85