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Wisconsin 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 $31 · 10th–90th $11$830%10%20%10th90th$31Professionalmedian $14 · 10th–90th $6$510%10%20%10th90th$14$5.0$10.0$20.0$50.0$100.0

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
$15.85 / $30.90 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $53.70
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $19.95 / $43.65
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $27.54 / $95.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.59 / $83.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.00 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $34.67
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $22.91 / $39.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $35.48 / $51.29
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $83.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.76 / $11.75
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $30.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $11.22 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.23 / $26.92