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Enterovirus Genetic Detection Test

New Mexico rates for HCPCS 87498

This laboratory test detects genetic material from enterovirus, a group of viruses that can cause illnesses ranging from mild colds to more serious infections of the brain or spinal cord lining. It uses a technique that amplifies tiny amounts of viral genetic material so even a small infection can be detected. A sample such as spinal fluid, blood, or a swab is tested.

Facilitymedian $112 · 10th–90th $42$3020%10%10th90th$112Professionalmedian $34 · 10th–90th $21$580%20%10th90th$34$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$41.69
Median
$97.72
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$33.88
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$223.87
Typical High
$363.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$28.84
Typical High
$33.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$53.70
Typical High
$75.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$91.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$54.95
Typical High
$95.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$48.98
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$38.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.42
Typical High
$21.38