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New York 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 $56 · 10th–90th $35$1150%10%20%10th90th$56Professionalmedian $45 · 10th–90th $18$830%20%40%10th90th$45$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
$35.48 / $60.26 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $44.67 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $18.20 / $37.15
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $35.48 / $35.48
CDPHP
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
$24.55 / $56.23 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $47.86 / $169.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $97.72
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $24.55 / $69.18
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $33.88 / $48.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.84 / $89.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $66.07 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $45.71 / $54.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $32.36 / $91.20
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $30.20 / $53.70
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $35.48 / $58.88