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Michigan 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
$73.48 / $73.48 / $128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $215.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $60.00 / $76.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.85 / $57.05 / $99.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.50 / $50.00 / $53.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.29 / $104.40 / $168.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.29 / $87.86 / $94.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.47 / $91.84 / $97.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.59 / $73.48 / $258.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.59 / $73.48 / $115.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.20 / $64.02 / $104.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.74 / $44.98 / $82.05