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Maryland rates for HCPCS 87426

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; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])

Facilitymedian $62 · 10th–90th $35–$1510%20%10th90th$62Professionalmedian $45 · 10th–90th $35–$890%20%40%10th90th$45$20.0$50.0$100.0$200.0

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
$37.15 / $61.66 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $44.67 / $89.13
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $61.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $38.90 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $43.65
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $35.48 / $45.71