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Ohio rates for HCPCS 87531

Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6, direct probe technique

Facilitymedian $69 · 10th–90th $47–$1450%10%20%10th90th$69Professionalmedian $46 · 10th–90th $19–$720%20%10th90th$46$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
$46.77 / $81.28 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $46.77 / $72.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $61.66 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $28.18 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $75.86 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.30 / $104.71
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $199.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $26.30 / $79.43
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $52.48 / $72.44
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $60.26 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $57.54 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $34.67 / $75.86