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Massachusetts rates for HCPCS 87506

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, 6-11 targets

Facilitymedian $589 · 10th–90th $219–$1,6220%10%10th90th$589Professionalmedian $245 · 10th–90th $158–$5130%20%10th90th$245$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$218.78 / $602.56 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $199.53 / $512.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $831.76
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $524.81 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $316.23 / $691.83
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $912.01 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $446.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $436.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $302.00 / $831.76
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $263.03 / $346.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $501.19