go back

Missouri rates for HCPCS 87804

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $72.16 / $218.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $19.03 / $85.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $17.38 / $76.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $16.00 / $36.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.95 / $34.72 / $67.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $15.81 / $23.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.06 / $26.57 / $78.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $21.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $16.48 / $19.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $19.86