go back

Nebraska 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
$8.47 / $50.96 / $138.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $10.45 / $77.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $36.65 / $71.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $18.21 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $17.04 / $26.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $23.73 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.19 / $31.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.69 / $24.43 / $37.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $26.64 / $34.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $15.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.19 / $23.96