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Maine 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
$12.02 / $12.02 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.00 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $107.15 / $114.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.24 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $16.98 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $13.49 / $17.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.02 / $14.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $19.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $12.02 / $23.44