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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])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $45.22 / $161.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.22 / $45.23 / $52.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.47 / $161.85 / $188.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $25.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.50 / $41.50 / $45.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $40.60 / $50.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $35.33 / $42.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.60 / $51.24 / $89.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $45.22 / $52.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.63 / $24.65 / $59.58