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Nationwide rates for HCPCS 87420

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; respiratory syncytial virus

Facilitymedian $28 · 10th–90th $13$1200%10%10th90th$28Professionalmedian $11 · 10th–90th $8$320%20%10th90th$11$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$12.88 / $31.62 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.22 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.62 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $26.92 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $16.22 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $18.20