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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

Facilitymedian $23 · 10th–90th $9–$650%5%10th90th$23Professionalmedian $9 · 10th–90th $6–$150%10%10th90th$9$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $22.39 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $15.14
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.03 / $7.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $40.74 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.61 / $11.48
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $26.30 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.91 / $20.42
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $30.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.00 / $10.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $35.48
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.91 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $12.02 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $6.17 / $8.32