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Fungal Culture Of Skin, Hair Or Nail

Wisconsin rates for HCPCS 87101

A scraping or clipping of skin, hair or nail is placed on a growth medium in the laboratory to see whether a fungus grows, and anything that grows is given a preliminary identification. It is used to confirm conditions such as ringworm, athlete's foot or a fungal nail infection before treatment is started. Fungi grow slowly, so results take longer than a bacterial culture.

Facilitymedian $45 · 10th–90th $8$1580%10%10th90th$45Professionalmedian $7 · 10th–90th $4$320%10%20%10th90th$7$5.0$10.0$20.0$50.0$100.0$200.0

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
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$77.62
Typical High
$158.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.92
Typical High
$25.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$21.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$30.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$25.12
Typical High
$40.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$11.48
Typical High
$23.99
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$16.98
Typical High
$61.66
Medica
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$7.24
Typical High
$91.20
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.31
Typical High
$17.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$27.54
Typical High
$64.57
Network Health
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$21.88
Network Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$12.59
Typical High
$21.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$19.50
Typical High
$74.13
Quartz
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$15.49
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.01
Typical High
$7.59
Security Health
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$37.15
Security Health
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$47.86
United
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$6.92
Typical High
$15.14
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.31
Typical High
$19.05