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Arizona rates for HCPCS 87301

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; adenovirus enteric types 40/41

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.92 / $26.28 / $55.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $10.71 / $77.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.70 / $26.37 / $43.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $10.10 / $14.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.41 / $19.48 / $35.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $14.46 / $18.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.99 / $10.87 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.04 / $11.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $15.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.04 / $9.78