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Illinois rates for HCPCS 87536

Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed

Facilitymedian $174 · 10th–90th $85–$4790%5%10th90th$174Professionalmedian $76 · 10th–90th $51–$1860%10%20%10th90th$76$5.0$20.0$100.0$500.0

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
$85.11 / $173.78 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $229.09 / $870.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $58.88 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $204.17 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $104.71 / $173.78
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $165.96 / $457.09
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $67.61 / $154.88