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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
$72.44 / $74.13 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $74.13 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $35.48 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $56.23 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $50.12 / $50.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $104.71 / $173.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $74.13 / $97.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $186.21
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $74.13 / $125.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $74.13 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $70.79 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $81.28