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Illinois 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 $14–$1200%10%10th90th$28Professionalmedian $12 · 10th–90th $4–$290%10%20%10th90th$12$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
$14.13 / $27.54 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.30 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $33.11 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $9.55 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $30.20 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.22 / $25.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $61.66
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $13.80 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $9.12 / $14.13