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New Jersey 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
$8.52 / $21.30 / $66.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $9.34 / $11.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $26.70 / $54.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $9.75 / $17.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $7.07 / $9.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.39 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $8.39 / $10.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.59 / $6.59 / $13.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $7.19 / $14.01