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Texas 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
$9.06 / $22.36 / $61.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $9.10 / $14.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $7.19 / $7.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.86 / $39.65 / $71.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.35 / $10.47
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $11.98 / $13.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.38 / $26.33 / $60.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $8.85 / $20.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.42 / $70.00 / $70.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $11.98 / $15.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.98 / $14.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $11.98 / $29.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.35 / $9.22 / $17.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $11.98 / $19.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.03 / $6.87 / $11.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $5.92 / $11.98