Infectious agent antigen detection test by immunoassay

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

IA RESP SYNCYTIAL VIR QL

Payers reporting CPT 87420

Payer pricing summary

Low

Average

$423

Median

$49

High

$8.6k

Payer rate distribution

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#
1	Molina fee schedule · outpatient · +27 other terms	279	$15	$16	$10	63%	269–323	$1 – $193
2	Anthem fee schedule · outpatient · +24 other terms	213	$18	$32	$42	131%	146–236	$3 – $457
3	UnitedHealthcare fee schedule · outpatient · +30 other terms	780	$14	$18	$23	133%	137–380	$1 – $533
4	Aetna fee schedule · outpatient · +28 other terms	716	$18	$63	$363	579%	66–363	$0 – $8.4k
5	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	528	$22	$39	$46	120%	53–170	$1 – $664
6	Cigna fee schedule · outpatient · +25 other terms	507	$28	$39	$41	106%	3–30	$5 – $520
7	Kaiser fee schedule · outpatient · +15 other terms	113	$14	$35	$65	188%	3–30	$3 – $494
8	Ambetter fee schedule · outpatient · +18 other terms	117	$23	$20	$7	36%	1–10	$9 – $70
9	Caresource fee schedule · outpatient · +13 other terms	103	$15	$22	$25	111%	1–10	$1 – $151
10	Humana fee schedule · outpatient · +26 other terms	527	$14	$33	$44	134%	—	$1 – $398
11	WellCare fee schedule · outpatient · +16 other terms	299	$14	$16	$8	52%	—	$6 – $102
12	Devoted fee schedule · outpatient · +15 other terms	187	$14	$14	$0	3%	—	$14 – $16
13	Oscar fee schedule · outpatient · +16 other terms	168	$27	$30	$10	34%	—	$8 – $43
14	Cigna Healthspring fee schedule · outpatient · +7 other terms	143	$14	$14	$1	7%	—	$12 – $23
15	MultiPlan fee schedule · outpatient · +19 other terms	123	$85	$110	$120	109%	—	$14 – $698
16	Aetna Better Health fee schedule · outpatient · +14 other terms	88	$13	$13	$1	10%	—	$3 – $15
17	First Health fee schedule · outpatient · +17 other terms	68	$28	$73	$112	155%	—	$12 – $613
18	Optum fee schedule · outpatient · +13 other terms	67	$14	$43	$58	134%	—	$3 – $239
19	Tricare facility · fee schedule · outpatient · +18 other terms	64	$14	$20	$39	195%	—	$11 – $294
20	Superior Healthplan fee schedule · outpatient · +6 other terms	60	$15	$43	$48	110%	—	$12 – $254
21	Clover fee schedule · outpatient · +8 other terms	49	$14	$14	$0	2%	—	$14 – $15
22	Highmark facility · fee schedule · outpatient · +15 other terms	45	$24	$30	$26	86%	—	$9 – $152
23	Amerihealth Caritas fee schedule · outpatient · +11 other terms	41	$16	$16	$4	27%	—	$2 – $23
24	Medicaid facility · fee schedule · outpatient · +12 other terms	39	$13	$13	$3	22%	—	$4 – $33
25	Medica facility · fee schedule · outpatient · +16 other terms	38	$14	$14	$3	23%	—	$5 – $36

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