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New York 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 $18 · 10th–90th $9$320%10%10th90th$18Professionalmedian $8 · 10th–90th $4$170%20%10th90th$8$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$10.47 / $18.62 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $17.38
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $10.47
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.47 / $10.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $23.44 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $15.49 / $63.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $25.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.41 / $20.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.00 / $12.59
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $19.95 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.61 / $23.44
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $12.02 / $25.12
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $10.47 / $28.18