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Ohio 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 / $29.05 / $74.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $11.13 / $20.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.28 / $15.30 / $24.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $9.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.37 / $13.91 / $18.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $18.07 / $18.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $14.32 / $39.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $11.22 / $20.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.03 / $15.82 / $80.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $9.03 / $16.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $11.47 / $16.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.69 / $16.69 / $16.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $8.35 / $18.21