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Genetic Test For An Infectious Organism

New York rates for HCPCS 87542

A laboratory test that looks in a patient sample for the genetic material of a specific germ. Detecting that material shows the organism is present, and results generally come back faster than growing the organism in a culture would allow.

Facilitymedian $79 · 10th–90th $42$1260%10%20%10th90th$79Professionalmedian $37 · 10th–90th $20$980%10%20%10th90th$37$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
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$79.43
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$81.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$20.42
Typical High
$109.65
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$25.12
Median
$41.69
Typical High
$41.69
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$41.69
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$107.15
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$58.88
Typical High
$223.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26.30
Median
$48.98
Typical High
$114.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$37.15
Typical High
$79.43
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$41.69
Typical High
$74.13
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$53.70
United
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$50.12
Typical High
$67.61
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$35.48
Typical High
$95.50
Univera
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$47.86
Typical High
$134.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$43.65
Typical High
$134.90