go back

New York 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
$10.18 / $20.97 / $49.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $10.18 / $11.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $31.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $6.80 / $22.14
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $11.98 / $11.98
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $11.98 / $11.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $25.16 / $94.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $13.52 / $78.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $16.77 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $7.19 / $21.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $8.11 / $8.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $10.92 / $14.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.51 / $40.51 / $45.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $28.95 / $160.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $12.02 / $24.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.19 / $17.97
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.78 / $13.78 / $42.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $12.56 / $15.21