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Idaho 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
$36.17 / $76.00 / $95.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $13.08 / $27.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.56 / $14.74 / $54.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $16.11 / $20.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.02 / $22.20 / $38.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $14.61 / $16.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $31.30 / $51.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $23.86 / $24.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.14 / $19.73