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Enterovirus Genetic Detection Test

Wisconsin 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 $91 · 10th–90th $42$2570%10%10th90th$91Professionalmedian $34 · 10th–90th $17$1230%5%10%10th90th$34$5.0$10.0$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
$41.69
Median
$77.62
Typical High
$257.04
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$30.90
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$144.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$52.48
CareSource
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$47.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$112.20
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$52.48
Typical High
$109.65
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$194.98
Typical High
$281.84
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$234.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$31.62
Median
$47.86
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$29.51
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$100.00
Network Health
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$60.26
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$89.13
Typical High
$123.03
Quartz
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$165.96
Typical High
$165.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$173.78
Typical High
$288.40
Security Health
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$87.10
Security Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$120.23
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$30.90
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$27.54
Typical High
$52.48