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Vermont 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 $141 · 10th–90th $11–$1820%20%10th90th$141Professionalmedian $18 · 10th–90th $9–$190%50%10th90th$18$5.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $147.91 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $165.96 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $14.45 / $16.98
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.80 / $3.80 / $3.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $12.88 / $29.51