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Genetic Test for a Respiratory Bacterium

Arkansas rates for HCPCS 87486

A laboratory test that detects genetic material from a specific type of bacterium linked to respiratory tract infection, using a technique that amplifies small amounts of genetic material so the test can find even a low level of the organism. A sample is usually collected from the nose, throat, or lower airway. Results help identify this particular cause of a cough, chest infection, or pneumonia-like illness.

Facilitymedian $54 · 10th–90th $33$810%20%10th90th$54Professionalmedian $32 · 10th–90th $23$550%10%20%10th90th$32$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
$33.11
Median
$54.95
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$32.36
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$53.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$29.51
Typical High
$43.65
CareSource
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$35.48
Typical High
$48.98
CareSource
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$35.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$45.71
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$41.69
Typical High
$66.07
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$64.57
United
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$35.48
Typical High
$40.74
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$23.99
Typical High
$58.88