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Michigan 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
$13.21 / $13.21 / $28.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $13.21 / $20.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.07 / $15.73 / $27.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $10.43 / $14.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $16.11 / $20.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.21 / $14.44 / $30.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.67 / $15.97 / $19.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $11.52 / $15.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $20.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.35 / $10.40