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Minnesota 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 $39 · 10th–90th $14–$910%20%10th90th$39Professionalmedian $16 · 10th–90th $10–$320%20%10th90th$16$10.0$20.0$50.0$100.0$200.0

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
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $51.29 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $20.42 / $26.92
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $43.65 / $91.20
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $26.92
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $29.51 / $173.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.77 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $13.80 / $30.90