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Nebraska 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 / $118.11 / $229.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $11.93 / $64.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $36.65 / $71.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.57 / $21.14 / $22.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.00 / $96.00 / $96.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $20.13 / $31.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $45.92 / $164.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.35 / $8.35 / $31.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.69 / $25.50 / $43.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.71 / $27.82 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $15.30 / $55.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $8.35 / $16.80