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North Carolina 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 $47 · 10th–90th $11$1510%5%10th90th$47Professionalmedian $11 · 10th–90th $9$180%20%10th90th$11$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
$12.30 / $54.95 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $28.84 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.55 / $20.42
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $39.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $15.14 / $22.39
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $14.13 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.13 / $16.60
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18