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Direct Test For Pneumocystis Pneumonia

West Virginia rates for HCPCS 87281

A laboratory test that looks directly for Pneumocystis, a fungus that causes serious pneumonia in people whose immune systems are weakened, in a sample of sputum or fluid washed from the lungs. Antibodies tagged with a fluorescent dye attach to the organism, making it visible under a special microscope. It gives a rapid answer because this organism cannot be grown in ordinary culture.

Rates data updated July 2026.

Facilitymedian $15 · 10th–90th $10$180%20%10th90th$15Professionalmedian $10 · 10th–90th $7$110%50%10th90th$10$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$15.14
Typical High
$17.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$11.22
CareSource
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$16.22
CareSource
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$25.70
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$23.44
Typical High
$81.28
United
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$13.80
United
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$6.76
Typical High
$16.60