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Hawaii 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
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.00 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $26.92 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.60 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $16.60 / $23.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $30.90