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Washington 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
$13.08 / $35.10 / $99.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $13.08 / $30.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.61 / $27.82 / $83.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $10.70 / $26.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $21.74 / $38.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $16.11 / $23.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $13.42 / $14.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.91 / $15.30 / $30.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.52 / $13.91 / $27.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $12.52 / $12.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $22.83 / $38.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $13.91 / $37.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $5.84 / $13.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $7.21 / $7.21