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Tennessee 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 $380 · 10th–90th $195–$8710%10%10th90th$380Professionalmedian $219 · 10th–90th $174–$5250%10%20%10th90th$219$10.0$50.0$200.0$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
$194.98 / $380.19 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $218.78 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $263.03 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $562.34 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $154.88 / $363.08
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $263.03 / $263.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $158.49 / $288.40