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North Carolina 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
$35.64 / $73.48 / $423.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.45 / $73.48 / $107.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.57 / $170.57 / $170.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.72 / $93.53 / $136.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.41 / $58.07 / $146.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.50 / $32.50 / $73.48
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.31 / $68.31 / $88.19
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.31 / $68.31 / $73.48
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.08 / $435.08 / $3,894.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.69 / $74.16 / $134.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.94 / $40.29 / $86.46
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.30 / $333.88 / $333.88
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.04 / $350.04 / $527.17