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Kentucky rates for HCPCS 87385

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; Histoplasma capsulatum

Facilitymedian $51 · 10th–90th $11–$2190%5%10th90th$51Professionalmedian $10 · 10th–90th $6–$160%20%10th90th$10$5.0$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
$11.48 / $52.48 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.00 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $13.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $15.85
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $18.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.60 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $25.70 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $39.81 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $13.18 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.55 / $16.60