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Texas 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
$10.57 / $66.09 / $227.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $10.36 / $16.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $43.96 / $78.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.37 / $9.46
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $18.78 / $96.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.63 / $13.63 / $13.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $27.66 / $61.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $11.97 / $21.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.29 / $83.01 / $83.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.57 / $13.91 / $21.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $13.91 / $15.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.57 / $13.91 / $32.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $11.49 / $17.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $13.91 / $16.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.04 / $11.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $5.92 / $13.91