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Pennsylvania 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 $27 · 10th–90th $10$460%20%10th90th$27Professionalmedian $8 · 10th–90th $6$190%20%40%10th90th$8$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
$9.77 / $27.54 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $19.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $67.61 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $9.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $15.49 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $12.59 / $23.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $6.17 / $15.14
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $18.20
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $25.12 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $12.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $10.47
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.47 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.62 / $10.47 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $7.41 / $19.05