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Wisconsin rates for HCPCS 87154

Culture, typing; identification of blood pathogen and resistance typing, when performed, by nucleic acid (DNA or RNA) probe, multiplexed amplified probe technique including multiplex reverse transcription, when performed, per culture or isolate, 6 or more targets

Facilitymedian $550 · 10th–90th $219$7080%10%10th90th$550Professionalmedian $182 · 10th–90th $87$6460%10%10th90th$182$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$269.15 / $549.54 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $177.83 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $588.84 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $776.25
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $707.95 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $676.08
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $758.58 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $263.03 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $389.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $54.95 / $323.59
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $263.03 / $630.96
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $218.78 / $436.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $512.86 / $724.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $1,047.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $114.82
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $467.74
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,318.26 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $630.96 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $173.78 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $131.83 / $389.05