go back

Michigan 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
$42.61 / $47.49 / $74.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $45.23 / $90.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.00 / $53.28 / $93.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $35.33 / $47.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.50 / $35.33 / $82.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $22.96 / $35.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.79 / $40.60 / $50.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.33 / $45.23 / $96.90
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.33 / $45.22 / $80.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $29.26 / $39.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $24.77 / $29.96