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New Jersey rates for HCPCS 87101

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

Facilitymedian $22 · 10th–90th $8–$830%10%10th90th$22Professionalmedian $7 · 10th–90th $4–$170%20%10th90th$7$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$9.55 / $21.88 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $6.92 / $16.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $51.29 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $17.38 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.92 / $21.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.89 / $8.71
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $8.13 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $7.76 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.68 / $11.22