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Maine rates for HCPCS 87552

Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species, quantification

Facilitymedian $43 · 10th–90th $43–$3980%50%90th$43Professionalmedian $40 · 10th–90th $31–$510%20%40%10th90th$40$20.0$50.0$100.0$200.0$500.0

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
$42.66 / $42.66 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $398.11 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $64.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $51.29
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.88 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $42.66 / $87.10