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Indiana 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 $14 · 10th–90th $14–$420%20%40%90th$14Professionalmedian $11 · 10th–90th $6–$190%20%10th90th$11$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
$13.80 / $21.88 / $51.29
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $6.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.89 / $10.23
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.59 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $13.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $9.12 / $15.49