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Michigan rates for HCPCS 87101

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

Facilitymedian $8 · 10th–90th $7–$170%20%10th90th$8Professionalmedian $7 · 10th–90th $4–$140%10%20%10th90th$7$2.0$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
$6.92 / $7.94 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.92 / $13.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $8.91 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.51 / $11.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $17.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.24 / $11.48
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.03 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.76 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.98 / $6.76