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Wisconsin rates for HCPCS 87581

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

Facilitymedian $95 · 10th–90th $42$3630%10%20%10th90th$95Professionalmedian $34 · 10th–90th $17$1230%5%10%10th90th$34$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
$48.98 / $173.78 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $144.54
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $52.48
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $112.20 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $52.48 / $109.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $190.55 / $281.84
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $234.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $53.70 / $131.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $29.51 / $323.59
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $58.88 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $100.00
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $60.26 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $147.91
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $229.09 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $194.98 / $323.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $74.13
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $102.33 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $30.90 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $28.18 / $57.54