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Oklahoma 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
$10.42 / $18.78 / $113.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.95 / $10.42 / $12.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.29 / $90.37 / $130.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.21 / $13.21 / $13.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $9.72 / $19.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.05 / $12.19 / $20.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.82 / $15.06 / $83.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.96 / $16.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $12.52 / $16.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.85 / $10.31