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New Mexico rates for HCPCS 87542

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

Facilitymedian $81 · 10th–90th $31–$1380%20%40%10th90th$81Professionalmedian $40 · 10th–90th $26–$690%10%10th90th$40$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
$63.10 / $134.90 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $39.81 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $64.57 / $91.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $89.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $60.26 / $109.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $60.26 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $46.77 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $25.70