go back

Wisconsin 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 $22 · 10th–90th $8$600%10%20%10th90th$22Professionalmedian $9 · 10th–90th $5$370%10%10th90th$9$5.0$10.0$20.0$50.0$100.0$200.0

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
$12.02 / $23.44 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $28.18 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $41.69
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.14 / $33.11
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $20.89 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $9.55 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.94 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $33.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $27.54
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $17.38 / $29.51
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $26.30 / $37.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $70.79 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.31 / $9.33
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $22.39
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $38.02 / $64.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $8.51 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $8.32 / $21.88