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Florida 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

Facilitymedian $112 · 10th–90th $56–$3470%10%20%10th90th$112Professionalmedian $72 · 10th–90th $54–$1410%50%10th90th$72$2.0$10.0$50.0$200.0

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
$56.23 / $120.23 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $72.44 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $37.15 / $123.03
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $83.18
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $70.79 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $52.48 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $67.61 / $102.33
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $42.66 / $54.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $13.49 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $66.07 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81