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Montana 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 $16 · 10th–90th $10–$320%20%10th90th$16Professionalmedian $10 · 10th–90th $7–$690%10%10th90th$10$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $15.14
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $31.62
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $31.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $17.78 / $60.26
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.50 / $13.49