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Missouri 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
$13.50 / $24.20 / $151.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.10 / $50.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $14.61 / $64.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $10.19 / $32.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.95 / $29.17 / $67.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $14.05 / $20.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $21.84 / $83.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.88 / $15.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $13.91 / $16.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.88 / $16.69