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Maine 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
$13.91 / $113.29 / $209.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $11.27 / $20.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $18.57 / $115.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $13.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $16.79 / $26.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.08 / $16.11 / $20.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $16.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $92.56 / $196.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.22 / $15.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $9.36 / $22.62