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Pennsylvania rates for HCPCS 87804

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

Facilitymedian $56 · 10th–90th $15$1450%10%10th90th$56Professionalmedian $17 · 10th–90th $11$560%10%20%10th90th$17$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$14.79 / $66.07 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $19.05 / $58.88
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $44.67 / $537.03
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $11.22
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $77.62 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $23.99 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $15.49 / $25.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $13.49 / $23.99
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $28.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $43.65 / $69.18
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $44.67 / $537.03
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $11.22
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $50.12
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.13 / $27.54
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,148.15 / $1,412.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $12.59 / $12.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $16.60 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.13 / $18.20