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Arkansas rates for HCPCS 87428

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]) and influenza virus types A and B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $73.48 / $174.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $112.46
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.78 / $94.78 / $94.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $30.94 / $30.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $73.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $70.29 / $84.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.69 / $45.69 / $70.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.69 / $53.00 / $91.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.37 / $73.48 / $73.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.20 / $66.20 / $66.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $44.09 / $83.11