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Nationwide rates for HCPCS 87542

Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, quantification

Facilitymedian $76 · 10th–90th $39$2040%10%10th90th$76Professionalmedian $39 · 10th–90th $26$810%20%10th90th$39$0.1$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$38.02 / $79.43 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $33.88 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $89.13 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $48.98 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.12 / $63.10