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Oklahoma 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 / $16.48 / $28.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $10.70 / $11.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $27.85 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $11.38 / $12.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.79 / $8.38 / $19.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $12.19 / $17.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.87 / $10.87 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.85 / $14.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.62 / $20.62 / $20.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.59 / $7.79