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New York rates for HCPCS 87255

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

Facilitymedian $62 · 10th–90th $29$1200%10%10th90th$62Professionalmedian $30 · 10th–90th $17$590%50%10th90th$30$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$28.84 / $64.57 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.20 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $79.43
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.88 / $33.88
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $74.13 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $60.26 / $302.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $43.65 / $123.03
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $23.44 / $66.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $32.36 / $44.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $30.20 / $169.82
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $60.26 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $40.74 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $26.30 / $75.86
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $16.98 / $81.28
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $33.88 / $107.15