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North Carolina 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
$9.58 / $11.09 / $86.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $10.70 / $14.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.33 / $8.33 / $8.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $31.78 / $41.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $8.99 / $10.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.18 / $12.69 / $31.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $8.75 / $17.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $10.87 / $22.41
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $16.41 / $21.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $8.00 / $15.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.89 / $71.06 / $85.00