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Arizona 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
$12.68 / $40.29 / $76.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $11.11 / $65.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.78 / $29.06 / $50.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $11.72 / $16.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $22.60 / $40.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $16.11 / $21.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.43 / $15.06 / $83.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.04 / $11.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $15.08 / $16.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.04 / $11.05