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New Mexico 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
$10.43 / $75.20 / $93.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $11.10 / $64.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.04 / $90.35 / $149.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.53 / $11.38 / $15.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $9.03 / $9.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $16.11 / $22.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $7.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.68 / $16.69 / $23.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.74 / $13.91 / $22.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $14.70 / $20.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.14 / $8.35