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Minnesota 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
$13.08 / $13.08 / $13.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $12.22 / $57.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $39.82 / $89.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.13 / $13.91 / $13.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.69 / $50.17 / $120.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $20.46 / $26.40
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.42 / $45.86 / $95.03
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $16.11 / $25.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $29.21 / $173.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $11.13 / $29.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $11.13 / $29.62