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Vermont 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 $59 · 10th–90th $4–$1350%20%10th90th$59Professionalmedian $13 · 10th–90th $7–$170%50%10th90th$13$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $14.13 / $16.60
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $3.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $12.30 / $25.70