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Maine 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 $10 · 10th–90th $10–$710%50%90th$10Professionalmedian $8 · 10th–90th $6–$130%20%10th90th$8$5.0$10.0$20.0$50.0$100.0

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
$10.47 / $10.47 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $14.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $70.79 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.03 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.49 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $14.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.47 / $12.59
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $18.20