go back

Kansas 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
$10.16 / $73.48 / $166.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $92.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.20 / $75.70 / $113.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $65.09 / $65.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.14 / $115.14 / $142.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $102.00 / $102.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $73.48 / $99.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $49.15 / $350.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.40 / $47.14 / $117.84