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Michigan rates for HCPCS 87804

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

Facilitymedian $16 · 10th–90th $16–$320%20%40%90th$16Professionalmedian $20 · 10th–90th $12–$510%10%10th90th$20$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $31.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $20.89 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.62 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $16.60 / $16.60
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $19.05 / $23.99
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $53.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $40.74
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $17.38