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Indiana 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
$47.34 / $91.00 / $210.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $73.48 / $80.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $210.87 / $399.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $21.75 / $28.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $94.89 / $112.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.29 / $77.31 / $99.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.69 / $114.23 / $171.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.21 / $80.78 / $102.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.45 / $45.08 / $74.09