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Pennsylvania 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 $78 · 10th–90th $35$1620%10%10th90th$78Professionalmedian $46 · 10th–90th $39$1260%20%40%10th90th$46$10.0$50.0$200.0$1.0K$5.0K

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 / $81.28 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $45.71 / $125.89
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $56.23 / $1,995.26
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $46.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $117.49
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $46.77 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $36.31 / $56.23
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $51.29
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $61.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $75.86 / $177.83
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $676.08
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $45.71
Johns Hopkins Employer Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $77.62 / $131.83
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $60.26
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $269.15 / $371.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $41.69 / $51.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $36.31 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $35.48 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $61.66