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Wisconsin rates for HCPCS 87490

Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique

Facilitymedian $62 · 10th–90th $27$1450%10%10th90th$62Professionalmedian $22 · 10th–90th $10$790%5%10%10th90th$22$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $63.10 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $61.66 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $72.44 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $38.90 / $70.79
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $107.15 / $158.49
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $151.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $177.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $54.95 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $57.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $36.31 / $64.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $107.15 / $107.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $114.82 / $177.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $48.98
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $79.43 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $18.20 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $16.22 / $37.15