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Wisconsin rates for HCPCS 87385

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Histoplasma capsulatum

Facilitymedian $36 · 10th–90th $12$2340%5%10%10th90th$36Professionalmedian $12 · 10th–90th $6$660%10%20%10th90th$12$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
$15.14 / $97.72 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $83.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $52.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $41.69
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $26.30 / $95.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.00 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $34.67
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $21.88 / $37.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.88 / $51.29
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.76 / $11.75
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $123.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $10.72 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $10.23 / $26.92