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Nebraska 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
$17.78 / $48.98 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $41.69 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $18.20 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $23.44 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.24 / $16.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $24.55 / $30.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.72 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.24 / $16.98