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Wisconsin rates for HCPCS 87503

Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, each additional influenza virus type or sub-type beyond 2 (List separately in addition to code for primary procedure)

Facilitymedian $76 · 10th–90th $30–$1350%20%10th90th$76Professionalmedian $27 · 10th–90th $12–$910%10%10th90th$27$5.0$10.0$20.0$50.0$100.0$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
$34.67 / $64.57 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.99 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $79.43 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $117.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $43.65
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $43.65 / $91.20
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $117.49 / $177.83
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $194.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $37.15 / $102.33
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $50.12 / $74.13
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $34.67 / $58.88
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $43.65 / $83.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $69.18 / $100.00
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $138.04 / $138.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $144.54 / $144.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $61.66
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $70.79 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $23.44 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $43.65