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California rates for HCPCS 87451

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; polyvalent for multiple organisms, each polyvalent antiserum

Facilitymedian $25 · 10th–90th $8$810%10%10th90th$25Professionalmedian $8 · 10th–90th $4$320%10%20%10th90th$8$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$8.71 / $22.91 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $60.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $24.55 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $6.92 / $20.89
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $56.23 / $120.23
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $3.98 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $18.62 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $11.48 / $23.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.47 / $16.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $23.44
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $10.47
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $11.75 / $27.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $9.55 / $23.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.32 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $7.08 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.31 / $20.42