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Illinois rates for HCPCS 87255

Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)

Facilitymedian $59 · 10th–90th $33–$1320%10%10th90th$59Professionalmedian $30 · 10th–90th $19–$520%20%10th90th$30$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$32.36 / $58.88 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $91.20 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $23.44 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $77.62 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $39.81 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $100.00 / $208.93
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $33.88 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $22.39 / $33.88