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Tennessee rates for HCPCS 87542

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

Facilitymedian $44 · 10th–90th $32–$1780%10%20%10th90th$44Professionalmedian $35 · 10th–90th $27–$690%20%10th90th$35$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
$31.62 / $38.90 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.11 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $46.77 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $100.00 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $74.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $263.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $41.69 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $58.88