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Ohio 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 $24 · 10th–90th $12$780%10%10th90th$24Professionalmedian $11 · 10th–90th $6$260%20%10th90th$11$5.0$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
$12.59 / $30.20 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.22 / $33.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $14.79 / $25.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.08 / $10.72
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $15.85
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $18.20 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.72 / $23.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $38.90 / $91.20
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.59 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.59 / $17.38
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $14.45 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $16.60