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Texas rates for HCPCS 87542

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

Facilitymedian $78 · 10th–90th $32$2140%5%10%10th90th$78Professionalmedian $32 · 10th–90th $23$630%10%10th90th$32$2.0$10.0$50.0$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
$30.90 / $77.62 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $33.11 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $131.83 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $22.91 / $39.81
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $95.50 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $32.36 / $87.10
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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $50.12 / $131.83
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $37.15 / $66.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $41.69
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $44.67 / $89.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $63.10 / $138.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $41.69 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $48.98
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $28.84 / $41.69