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Massachusetts rates for HCPCS 87542

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

Facilitymedian $102 · 10th–90th $39$1780%20%10th90th$102Professionalmedian $42 · 10th–90th $31$1050%20%40%10th90th$42$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$38.90 / $109.65 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $38.90 / $104.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $58.88 / $144.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $45.71 / $363.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $102.33 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $70.79 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $45.71 / $112.20
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $416.87 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $70.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $79.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $58.88 / $144.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $45.71 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $41.69 / $89.13