go back

Maryland 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
$68.40 / $82.93 / $137.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $138.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.41 / $46.41 / $46.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.06 / $50.06 / $52.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.29 / $84.35 / $112.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $33.07 / $63.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.94 / $30.94 / $30.94