go back

California rates for HCPCS 87500

Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg, enterococcus species van A, van B), amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $199.53 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $38.90 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $81.28 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $47.86 / $100.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $100.00 / $467.74
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $38.90 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $61.66 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $109.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $35.48 / $47.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $38.90 / $61.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $323.59 / $323.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $45.71 / $109.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.90 / $100.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $34.67 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $35.48 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $20.89 / $70.79