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Maryland rates for HCPCS 87542

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

Facilitymedian $17 · 10th–90th $17–$320%50%90th$17Professionalmedian $35 · 10th–90th $25–$630%20%10th90th$35$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $37.15 / $69.18
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.88 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $18.62 / $37.15
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $40.74 / $40.74