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Kentucky rates for HCPCS 87542

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

Facilitymedian $42 · 10th–90th $32–$1000%20%10th90th$42Professionalmedian $35 · 10th–90th $31–$580%20%40%10th90th$35$10.0$20.0$50.0$100.0$200.0

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
$32.36 / $41.69 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $43.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $41.69 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $57.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $58.88 / $79.43
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $53.70 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $66.07 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $70.79 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $41.69 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $34.67 / $58.88