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Antigen Detection For A Group Of Organisms

Kansas rates for HCPCS 87451

A laboratory test that looks for germ material directly in a sample using an antibody-based method, with a reagent that reacts with a group of related organisms rather than a single one. It gives a faster answer than growing the organism in culture. A positive result usually leads to further testing to identify the specific organism.

Facilitymedian $25 · 10th–90th $10$580%10%10th90th$25Professionalmedian $9 · 10th–90th $7$210%10%20%10th90th$9$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$22.91
Typical High
$31.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$57.54
Typical High
$60.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$15.49
Typical High
$23.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$12.02
Typical High
$40.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$20.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$7.76
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$10.47
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.31
Typical High
$18.62