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HCPCS 87806QW

HIV AG W/HIV1&2 ANTB W/OPTIC

Reported by 18 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$43

Average

$134

Median

$44

High

$486

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$473$473$473$473—
2Gundersen Luthern Medical Center IncLa Crosse, WI$473$486$486$498$12
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$125$125$125$125—
4Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$125$125$125$125—
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$125$125$125$125—
6Memorial Hospital of BoscobelBoscobel, WI$125$125$125$125—
7Tri-County Memorial Hospital IncWhitehall, WI$473$486$486$498$12
8Hmh Hospitals CorporationNorth Bergen, NJ$44$44$44$44—
9Hmh Hospitals CorporationEdison, NJ$44$44$44$44—
10Hmh Hospitals CorporationHackensack, NJ$44$44$44$44—
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