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Utah 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 $33 · 10th–90th $10–$720%20%10th90th$33Professionalmedian $8 · 10th–90th $5–$110%20%10th90th$8$5.0$10.0$20.0$50.0

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
$10.00 / $54.95 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $18.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $43.65
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $9.33
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.47 / $33.11
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.33 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.62 / $13.49