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Alaska rates for HCPCS 87420

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; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $95.06 / $382.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $12.22 / $46.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.42 / $38.42 / $38.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $16.11 / $20.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $15.06 / $15.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $41.73 / $55.64
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.69 / $65.31 / $77.36
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $31.30 / $132.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $15.06 / $15.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $13.91 / $17.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $27.82 / $41.97