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Vermont rates for HCPCS 87804

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

Facilitymedian $105 · 10th–90th $17–$1950%10%20%10th90th$105Professionalmedian $19 · 10th–90th $13–$300%20%10th90th$19$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $154.88 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $19.05 / $23.99
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.60 / $36.31