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Wyoming 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
$13.91 / $13.91 / $85.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $13.91 / $13.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.55 / $20.55 / $24.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $22.00 / $45.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.91 / $27.91 / $27.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $16.11 / $20.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.93 / $16.76