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California 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
$11.11 / $64.13 / $178.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $11.11 / $62.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.24 / $33.54 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.53 / $23.46
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.77 / $69.00 / $120.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.22 / $25.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $18.26 / $46.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $16.93 / $24.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $13.91 / $22.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $13.91 / $30.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.29 / $83.01 / $83.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $8.34 / $8.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.64 / $15.06 / $35.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.88 / $14.65 / $26.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.82 / $48.82 / $48.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $13.91 / $19.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.22 / $23.88