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Minnesota 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $12.02 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.72 / $69.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $45.71 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.38 / $22.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $41.69 / $87.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $22.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $23.44 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.32 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.02 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $12.02 / $25.70