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New Jersey 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 $32 · 10th–90th $18–$1200%20%10th90th$32Professionalmedian $13 · 10th–90th $9–$320%20%10th90th$13$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
$21.38 / $27.54 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $32.36
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $37.15 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.85 / $33.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $8.32 / $10.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.30 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $16.60