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Nucleic Acid Test For An Organism

Wisconsin rates for HCPCS 87537

A laboratory test that examines a patient sample for the genetic material of one specific organism. Finding that material confirms the organism is present in the sample tested.

Facilitymedian $58 · 10th–90th $24$1230%20%10th90th$58Professionalmedian $20 · 10th–90th $10$790%10%10th90th$20$5.0$10.0$20.0$50.0$100.0$200.0$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
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$48.98
Typical High
$60.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$19.05
Typical High
$33.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$60.26
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$33.11
Typical High
$69.18
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$109.65
Typical High
$158.49
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$32.36
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$16.98
Typical High
$181.97
Molina
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$50.12
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$26.30
Typical High
$57.54
Network Health
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$34.67
Typical High
$61.66
Quartz
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$56.23
Typical High
$85.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$151.36
Typical High
$151.36
Quartz
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$112.20
Typical High
$181.97
Security Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$46.77
Security Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$67.61
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$17.78
Typical High
$47.86
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$16.22
Typical High
$36.31