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Wisconsin rates for HCPCS 87580

Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, direct probe technique

Facilitymedian $54 · 10th–90th $22–$1230%10%20%10th90th$54Professionalmedian $19 · 10th–90th $10–$790%5%10%10th90th$19$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
$23.99 / $44.67 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $53.70 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $30.20 / $63.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $109.65 / $158.49
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $134.90
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $204.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $54.95 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $57.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $56.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $50.12 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $151.36 / $151.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $112.20 / $204.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $42.66
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $79.43 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $17.78 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.22 / $34.67