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Iowa rates for HCPCS 87185

Susceptibility studies, antimicrobial agent; enzyme detection (eg, beta lactamase), per enzyme

Facilitymedian $9 · 10th–90th $5–$370%10%10th90th$9Professionalmedian $4 · 10th–90th $3–$420%20%10th90th$4$2.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $9.12 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $9.55 / $12.02
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $11.75 / $41.69
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $6.17 / $14.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $5.75 / $12.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.17 / $6.17
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.98 / $12.02
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $4.79 / $4.79