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Pennsylvania rates for HCPCS 87542

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

Facilitymedian $110 · 10th–90th $39$1820%20%10th90th$110Professionalmedian $34 · 10th–90th $30$930%20%40%10th90th$34$20.0$100.0$500.0$2.0K$10.0K$50.0K

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 / $114.82 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $123.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $67.61 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $40.74 / $89.13
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $37.15 / $56.23
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $61.66 / $107.15
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $109.65 / $141.25
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $51.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $54.95 / $57.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $54.95 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $25.12 / $63.10