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Texas 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 $46 · 10th–90th $12$1740%5%10th90th$46Professionalmedian $10 · 10th–90th $6$170%10%20%10th90th$10$2.0$10.0$50.0$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
$10.47 / $63.10 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.23 / $16.60
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $43.65 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $11.22
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $81.28
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $27.54 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $12.30 / $21.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.14 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.75 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $11.75 / $11.75
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.14 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $11.48 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $13.80 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.08 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37