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Pennsylvania rates for HCPCS 87427

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; Shiga-like toxin

Facilitymedian $48 · 10th–90th $13$740%10%10th90th$48Professionalmedian $11 · 10th–90th $8$190%50%10th90th$11$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
$14.13 / $47.86 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.41
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $18.62 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $15.49 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $12.02 / $17.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $12.30 / $20.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $44.67 / $67.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $8.91
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $158.49 / $158.49
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $18.62 / $42.66
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $16.60
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $354.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $14.13 / $19.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.49 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.91 / $20.42