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Maryland 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 $7 · 10th–90th $4–$130%10%20%10th90th$7Professionalmedian $8 · 10th–90th $6–$120%20%10th90th$8$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $12.02
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.32 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $6.92 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $9.77 / $25.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $4.47 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $5.89 / $13.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $7.24 / $15.85