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Wisconsin rates for HCPCS 87109

Culture, mycoplasma, any source

Facilitymedian $42 · 10th–90th $14$1510%10%10th90th$42Professionalmedian $14 · 10th–90th $8$400%20%10th90th$14$10.0$20.0$50.0$100.0$200.0$500.0

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
$18.20 / $42.66 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.80 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $41.69 / $42.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $53.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $48.98 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.39 / $47.86
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $33.88 / $79.43
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $9.33 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $18.62 / $28.18
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.05 / $43.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $38.90 / $83.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $112.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $15.14
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $34.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.80 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.33 / $29.51