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Maryland rates for HCPCS 87425

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; rotavirus

Facilitymedian $49 · 10th–90th $9–$660%10%10th90th$49Professionalmedian $10 · 10th–90th $7–$450%20%10th90th$10$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $52.48 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.00 / $44.67
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.55 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $11.48 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.80 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.62 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $6.76 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $8.32 / $17.78