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Illinois rates for HCPCS 87542

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

Facilitymedian $79 · 10th–90th $42–$1820%10%10th90th$79Professionalmedian $35 · 10th–90th $4–$810%20%10th90th$35$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $72.44 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $37.15 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $112.20 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $28.84 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $100.00 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $56.23 / $87.10
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $81.28 / $154.88
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
$53.70 / $53.70 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $30.20 / $52.48