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Illinois rates for HCPCS 87804

Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza

Facilitymedian $45 · 10th–90th $17–$1550%5%10th90th$45Professionalmedian $19 · 10th–90th $11–$470%10%10th90th$19$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$18.20 / $45.71 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $19.95 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $16.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $12.88 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $35.48 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $18.20 / $25.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.98