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Genetic Detection Of An Infection

Texas rates for HCPCS 87472

Looks for the genetic material of a particular infectious organism in a sample, rather than waiting for it to grow in the laboratory. Reading the organism's own DNA or RNA identifies it specifically, and can find organisms that are slow or difficult to culture.

Facilitymedian $74 · 10th–90th $32$2040%5%10%10th90th$74Professionalmedian $33 · 10th–90th $6$600%10%10th90th$33$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$32.36
Median
$79.43
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$58.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$26.30
Typical High
$58.88
Christus
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$97.72
Typical High
$223.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.11
Typical High
$89.13
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$51.29
Typical High
$131.83
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$38.90
Typical High
$67.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$43.65
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$46.77
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$64.57
Typical High
$141.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$40.74
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$42.66
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$25.12
Typical High
$50.12
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$29.51
Typical High
$42.66