go back

Michigan 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
$11.48 / $11.48 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $13.49 / $23.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.91 / $8.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $13.49 / $16.98
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $39.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $14.45 / $21.38
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.33 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $9.77 / $10.47