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New Mexico rates for HCPCS 87116

Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates

Facilitymedian $35 · 10th–90th $13–$5750%10%10th90th$35Professionalmedian $10 · 10th–90th $8–$150%20%40%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$12.88 / $35.48 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $70.79 / $112.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $8.91 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $15.49 / $23.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $19.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $16.60 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $9.77 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.31 / $6.61