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Utah 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
$27.66 / $45.33 / $310.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.23 / $45.23 / $45.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.19 / $31.05 / $97.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $40.60 / $50.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.37 / $27.37 / $27.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.39 / $40.63 / $56.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $28.76 / $52.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.87 / $18.95 / $27.07