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New Jersey rates for HCPCS 87804

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

Facilitymedian $29 · 10th–90th $12–$1450%20%10th90th$29Professionalmedian $14 · 10th–90th $9–$320%10%20%10th90th$14$10.0$50.0$200.0$1.0K$5.0K$20.0K

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 / $25.70 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $31.62
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $123.03 / $1,096.48
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.89 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $37.15 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.85 / $33.88
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.12 / $13.49
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.30 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $16.60 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.13 / $16.60