go back

Vermont 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 $141 · 10th–90th $23–$2290%50%10th90th$141Professionalmedian $16 · 10th–90th $12–$190%20%10th90th$16$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.85 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $204.17 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $16.98 / $20.42
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $16.60 / $32.36