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Maine 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 $58 · 10th–90th $30–$1620%10%20%10th90th$58Professionalmedian $45 · 10th–90th $25–$510%50%10th90th$45$10.0$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
$28.84 / $57.54 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $162.18 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $45.71 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $35.48 / $41.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $42.66
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $46.77
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $45.71 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $35.48 / $61.66