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New York rates for HCPCS 87425

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; rotavirus

Facilitymedian $22 · 10th–90th $10$370%10%20%10th90th$22Professionalmedian $10 · 10th–90th $6$280%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$10.23 / $22.39 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.00 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $24.55
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $12.02
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $26.30 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.98 / $81.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $14.45 / $34.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.32 / $23.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.02 / $15.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $30.20 / $45.71
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $22.39 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.51 / $26.92
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $12.02 / $27.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.59 / $38.90