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Pennsylvania rates for HCPCS 87328

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; cryptosporidium

Facilitymedian $40 · 10th–90th $17$780%10%10th90th$40Professionalmedian $11 · 10th–90th $9$660%50%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$18.62 / $40.74 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.32 / $8.51
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $47.86 / $426.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $16.22 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $13.49 / $19.95
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.80 / $23.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $33.88 / $64.57
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.12 / $11.48
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $40.74 / $151.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $25.70 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $21.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $9.33 / $15.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $11.75 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $9.33 / $21.38