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Massachusetts 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 $34 · 10th–90th $14$850%10%10th90th$34Professionalmedian $17 · 10th–90th $10$480%20%10th90th$17$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$13.80 / $38.90 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $47.86
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $21.88 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $17.78 / $29.51
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $22.91 / $4,897.79
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.88 / $28.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $38.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $40.74
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $20.42 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $15.14 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $38.90