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New York 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 $14$630%10%10th90th$32Professionalmedian $13 · 10th–90th $6$460%10%10th90th$13$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 / $33.11 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $14.13 / $70.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $26.92
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $16.98 / $16.98
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $41.69 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $21.38 / $81.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $17.78 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $31.62
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $12.02 / $18.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $60.26
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $30.20 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $17.38 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $38.02
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $6.31 / $27.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $14.45 / $38.90