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Indiana 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
$11.41 / $16.00 / $51.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $11.41 / $13.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.99 / $12.52 / $41.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.67 / $5.92 / $9.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $16.69 / $18.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $16.00 / $19.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $13.91 / $32.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $16.11 / $26.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.35 / $13.91