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New York 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 $25 · 10th–90th $10$470%10%10th90th$25Professionalmedian $10 · 10th–90th $6$230%20%10th90th$10$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
$10.23 / $25.12 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $19.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $25.12
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $13.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $28.18 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $17.78 / $81.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $15.14 / $36.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.33 / $25.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.18 / $15.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $45.71 / $158.49
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $25.12 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.33 / $29.51
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $12.59 / $27.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $37.15