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Utah rates for HCPCS 87109

Culture, mycoplasma, any source

Facilitymedian $72 · 10th–90th $19–$1820%10%20%10th90th$72Professionalmedian $14 · 10th–90th $10–$170%20%10th90th$14$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
$30.90 / $104.71 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.80 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.72 / $29.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $13.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.49 / $48.98
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.49 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $21.38