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New Mexico 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
$8.99 / $17.98 / $35.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $14.38 / $77.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.97 / $66.13 / $107.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $9.80 / $11.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $7.79 / $7.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $13.63 / $22.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $6.59 / $6.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $14.38 / $23.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $11.98 / $22.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $11.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.19 / $7.36