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Enterovirus Genetic Detection Test

Utah 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 $245 · 10th–90th $41$5130%10%10th90th$245Professionalmedian $32 · 10th–90th $25$520%20%10th90th$32$20.0$50.0$100.0$200.0$500.0

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
$70.79
Median
$245.47
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$32.36
Typical High
$52.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$36.31
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$41.69
Typical High
$74.13
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$158.49
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$31.62
Typical High
$47.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$36.31
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$30.90
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$48.98