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Massachusetts 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 $23 · 10th–90th $9$370%10%20%10th90th$23Professionalmedian $10 · 10th–90th $7$220%20%10th90th$10$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
$7.08 / $23.44 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $15.14
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $70.79
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $23.44 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $15.14 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.02 / $26.92
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $61.66 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $23.99
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $13.49 / $70.79
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $10.47 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $24.55