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Alaska rates for HCPCS 87187

Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.45 / $277.20 / $471.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.57 / $134.57 / $258.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.97 / $110.97 / $110.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $46.26 / $57.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $29.26 / $29.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.17 / $40.17 / $160.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.48 / $148.63 / $160.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $90.38 / $90.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $29.26 / $66.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.40 / $36.15 / $40.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.52 / $80.34 / $121.20