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Texas 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 $52 · 10th–90th $13$1550%5%10th90th$52Professionalmedian $12 · 10th–90th $7$210%10%10th90th$12$2.0$10.0$50.0$200.0

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
$12.59 / $64.57 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.32 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $53.70 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $11.22 / $12.02
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $26.30 / $269.15
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $63.10 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $31.62 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $25.70
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.95 / $154.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $26.92
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $14.13 / $14.13
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $354.81 / $371.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $48.98
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $16.98 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.08 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61