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South Dakota 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 $27 · 10th–90th $13$270%50%10th$27Professionalmedian $13 · 10th–90th $9$340%20%10th90th$13$10.0$20.0$50.0

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 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $26.92 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $18.62 / $45.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $16.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $20.89
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80