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Tennessee rates for HCPCS 87505

Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 3-5 targets

Facilitymedian $288 · 10th–90th $95–$5620%10%20%10th90th$288Professionalmedian $115 · 10th–90th $85–$2690%10%20%10th90th$115$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$95.50 / $363.08 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $141.25 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $269.15 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $87.10 / $218.78
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $87.10 / $173.78