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Missouri 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
$14.13 / $20.89 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $40.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $10.23 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $24.55 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $22.39 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $12.30 / $16.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $20.89 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.24 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.61 / $12.02 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.24 / $14.45