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New Jersey 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 $49 · 10th–90th $22–$2090%10%10th90th$49Professionalmedian $45 · 10th–90th $35–$780%50%10th90th$45$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$22.39 / $46.77 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $44.67 / $77.62
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $102.33 / $2,570.40
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $77.62 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $36.31 / $79.43
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $26.92
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $10,471.29 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $35.48 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $26.92 / $46.77