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Texas 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 $19 · 10th–90th $8$550%5%10th90th$19Professionalmedian $7 · 10th–90th $5$130%10%10th90th$7$2.0$5.0$10.0$20.0$50.0$100.0

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
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $19.50 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $7.94 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $33.11 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.75 / $8.32
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $20.89 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $16.60
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.47 / $31.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.33 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $8.91
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $10.47 / $30.90
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $10.47 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.62 / $13.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.50 / $7.24