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Wisconsin rates for HCPCS 87900

Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics

Facilitymedian $355 · 10th–90th $155–$6760%20%10th90th$355Professionalmedian $123 · 10th–90th $65–$4270%10%10th90th$123$5.0$20.0$100.0$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
$154.88 / $354.81 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $117.49 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $346.74 / $354.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $194.98 / $407.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $724.44 / $1,047.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $870.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $165.96 / $588.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $501.19
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $70.79 / $257.04
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $371.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $223.87 / $371.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $331.13 / $457.09
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $616.60 / $616.60
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $691.83 / $1,071.52
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $275.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $524.81 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $114.82 / $316.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $102.33 / $194.98