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Virginia 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
$11.82 / $66.77 / $120.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $11.55 / $17.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $13.91 / $67.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $5.92 / $8.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $49.86 / $74.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $30.63 / $63.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.22 / $16.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $17.39 / $20.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.13 / $15.06 / $19.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $19.00 / $30.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.15 / $16.84 / $70.41
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.15 / $16.89 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $13.91 / $20.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $7.23 / $13.91