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New York 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 $26 · 10th–90th $10–$430%10%20%10th90th$26Professionalmedian $11 · 10th–90th $6–$270%10%20%10th90th$11$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
$11.75 / $26.30 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.96 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $25.12
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $13.80 / $13.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $34.67 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $17.78 / $81.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $15.85 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.77 / $26.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.75 / $16.60
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $25.12 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $16.60 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $9.12 / $30.20
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9.77 / $27.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $38.90