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Virginia 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 $11 · 10th–90th $7$450%20%10th90th$11Professionalmedian $7 · 10th–90th $5$130%20%10th90th$7$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$7.08 / $20.42 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.79 / $7.76
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $22.91 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.92 / $15.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.59 / $15.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $16.22 / $18.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $5.13 / $14.45
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $21.88
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $12.59 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $12.59 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $10.47 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $5.89 / $10.00