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Genetic Test For An Infectious Organism

Alabama rates for HCPCS 87542

A laboratory test that looks in a patient sample for the genetic material of a specific germ. Detecting that material shows the organism is present, and results generally come back faster than growing the organism in a culture would allow.

Facilitymedian $48 · 10th–90th $37$630%20%10th90th$48Professionalmedian $36 · 10th–90th $27$600%10%20%10th90th$36$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
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$47.86
Typical High
$63.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$36.31
Typical High
$60.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$44.67
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$54.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$44.67
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$25.70
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$41.69
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$58.88