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North Carolina 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
$11.13 / $55.42 / $137.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $11.13 / $17.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.56 / $29.53 / $41.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $10.43 / $10.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $12.69 / $36.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $12.83 / $20.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $15.06 / $22.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $15.74 / $21.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $16.41 / $20.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $8.11 / $15.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.21 / $83.01 / $83.01