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Ohio rates for HCPCS 87542

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

Facilitymedian $55 · 10th–90th $33$1050%10%20%10th90th$55Professionalmedian $34 · 10th–90th $22$650%20%10th90th$34$5.0$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
$33.11 / $64.57 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $34.67 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $43.65 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.30 / $56.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $54.95 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $41.69 / $100.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $28.18 / $158.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $41.69 / $83.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $37.15 / $51.29
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $50.12 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $63.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.12 / $58.88