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Maine rates for HCPCS 87581

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

Facilitymedian $37 · 10th–90th $35–$2450%50%10th90th$37Professionalmedian $33 · 10th–90th $24–$460%20%10th90th$33$10.0$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
$35.48 / $35.48 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $28.18 / $45.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $245.47 / $263.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $19.95 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $35.48 / $52.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $41.69
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $30.90 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $35.48 / $66.07