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Vermont rates for HCPCS 87400

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; Influenza, A or B, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.78 / $142.78 / $142.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $15.73 / $19.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.82 / $137.41 / $202.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $23.64 / $23.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $16.52 / $20.65
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $23.64 / $23.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $16.52 / $20.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $9.61 / $22.41