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New Mexico 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 $71 · 10th–90th $16–$2880%10%10th90th$71Professionalmedian $16 · 10th–90th $10–$830%20%10th90th$16$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$38.90 / $54.95 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.98 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $107.15 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $13.80 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $18.62 / $26.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $9.33
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $20.89
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $18.62 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $14.79 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.08 / $10.00