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South Carolina 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
$8.39 / $9.34 / $67.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $10.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.78 / $52.80 / $85.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $35.00 / $45.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.78 / $34.74 / $73.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.08 / $7.53 / $17.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $13.85 / $23.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $16.41 / $22.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $6.59 / $9.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $8.16 / $16.76