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Hawaii 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
Professional
Modifier
Low / Median / High Price
$34.03 / $76.45 / $159.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.26 / $83.04 / $91.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.31 / $84.35 / $98.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.35 / $86.46 / $140.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $99.84 / $117.64