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Vermont 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
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.82 / $121.28 / $202.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $20.05 / $20.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $13.63 / $18.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $20.05 / $20.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $13.63 / $18.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.19 / $9.61 / $22.41