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Virginia 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 $11$1120%20%10th90th$26Professionalmedian $10 · 10th–90th $6$190%50%10th90th$10$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
$10.47 / $48.98 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $17.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $58.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $10.00
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $56.23 / $77.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $30.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.23 / $19.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.60 / $20.42
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $23.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $15.14 / $19.50
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $29.51
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $18.20 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $13.80 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.24 / $14.13