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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
$70.29 / $95.54 / $242.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $105.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $73.48 / $110.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.60 / $58.79 / $74.95
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.88 / $68.88 / $73.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.69 / $45.69 / $45.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.81 / $32.81 / $50.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $42.17 / $95.54