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Tennessee 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 / $16.63 / $41.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $9.46 / $11.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.59 / $13.32 / $15.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $25.55 / $46.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.52 / $9.22 / $17.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.85 / $70.00 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.19 / $11.98 / $11.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $7.87 / $16.22