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California 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 $49 · 10th–90th $15$1510%10%10th90th$49Professionalmedian $12 · 10th–90th $9$620%20%10th90th$12$5.0$20.0$100.0$500.0$2.0K

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
$19.50 / $60.26 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $32.36 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.23 / $27.54
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $66.07 / $147.91
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.47 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $24.55 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $15.49 / $30.20
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $13.80 / $22.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $13.80 / $30.90
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $36.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.45 / $30.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.13 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.91 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $26.92