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New Jersey 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 $21 · 10th–90th $14–$1320%10%10th90th$21Professionalmedian $11 · 10th–90th $8–$240%20%40%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$16.98 / $21.38 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $30.20 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.49 / $33.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.92 / $13.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.30 / $12.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $13.80 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $16.22