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New Jersey 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 $22 · 10th–90th $13$1050%10%20%10th90th$22Professionalmedian $8 · 10th–90th $4$190%20%10th90th$8$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$13.49 / $18.62 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $22.91 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.71 / $26.92
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $5.25 / $10.72
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $10.00 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $10.47 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.31 / $14.13