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Texas rates for HCPCS 87498

Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed

Facilitymedian $100 · 10th–90th $30–$3090%5%10th90th$100Professionalmedian $26 · 10th–90th $15–$480%10%10th90th$26$2.0$10.0$50.0$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
$26.30 / $128.82 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.70 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $120.23 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $19.50 / $47.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $251.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $34.67 / $48.98
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $77.62 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $77.62
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $309.03
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $43.65 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $57.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $35.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $51.29 / $134.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $35.48 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $20.42 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $23.99 / $35.48