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Louisiana 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
$70.79 / $85.11 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $48.98 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $74.13
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $69.18 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $66.07 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $37.15 / $107.15