go back

Maryland 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
$12.34 / $68.31 / $139.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $10.43 / $32.04
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $11.13 / $16.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $9.14 / $18.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $12.74 / $20.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $17.39 / $20.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.84 / $5.84 / $5.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.26 / $7.09 / $12.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $6.96 / $11.77