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New Mexico 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 $35 · 10th–90th $10–$870%10%20%10th90th$35Professionalmedian $9 · 10th–90th $6–$150%20%10th90th$9$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
$15.85 / $33.88 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $56.23 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $14.79 / $20.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $11.48 / $16.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $14.79 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $9.55 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.62 / $6.31