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Hawaii 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
$9.88 / $11.20 / $14.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.42 / $14.38 / $14.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $25.73 / $30.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $14.38 / $17.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $14.38 / $23.27
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.42 / $21.62 / $30.17