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Massachusetts 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 $30 · 10th–90th $11–$830%10%10th90th$30Professionalmedian $14 · 10th–90th $10–$300%20%10th90th$14$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
$10.96 / $31.62 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $22.91
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $83.18
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $29.51 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $19.05 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $16.22 / $23.99
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $4,897.79
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $23.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $33.88
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $64.57
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $83.18
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $31.62