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Arizona 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
$49.13 / $113.08 / $281.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $159.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.69 / $34.29 / $52.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $16.00 / $77.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.59 / $48.81 / $128.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.25 / $37.25 / $37.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $88.19 / $167.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $34.40 / $350.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $34.40 / $49.15