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Ohio 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
$9.58 / $26.63 / $44.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $9.58 / $11.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.58 / $13.18 / $21.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $12.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $11.98 / $16.17
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $15.57 / $16.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $12.34 / $45.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $9.61 / $17.45
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $12.34 / $45.88
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.11 / $7.79 / $16.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $9.88 / $14.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.19 / $16.76