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Iowa rates for HCPCS 87430

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; Streptococcus, group A

Facilitymedian $40 · 10th–90th $13–$6310%5%10th90th$40Professionalmedian $16 · 10th–90th $11–$760%10%10th90th$16$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$12.02 / $39.81 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $32.36 / $40.74
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $29.51 / $37.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $20.42 / $56.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.98 / $37.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $19.95
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $602.56 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $38.90
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.98 / $16.98