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Michigan rates for HCPCS 87807

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

Facilitymedian $15 · 10th–90th $13–$590%20%10th90th$15Professionalmedian $13 · 10th–90th $10–$370%10%20%10th90th$13$5.0$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
$12.59 / $15.49 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $14.79 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.79 / $18.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $15.85 / $57.54
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $31.62
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.12 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $9.77 / $14.45