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Massachusetts 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
$10.91 / $29.77 / $50.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.81 / $10.91 / $20.51
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $20.85 / $70.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $11.98 / $29.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.09 / $33.59 / $58.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.26 / $11.26 / $14.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $17.84 / $40.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $12.67 / $20.34
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $17.27 / $20.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $16.60 / $43.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $70.00 / $70.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.03 / $24.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.03 / $24.18