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Missouri 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
$41.81 / $85.05 / $146.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $138.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.12 / $31.35 / $130.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.82 / $132.32 / $167.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.59 / $81.59 / $81.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $88.28 / $333.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.42 / $47.14 / $350.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $47.02 / $86.46