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North Dakota 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
$70.29 / $73.48 / $73.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $92.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $141.63 / $158.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.78 / $80.78 / $118.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.48 / $105.44 / $202.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.55 / $96.75 / $163.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.52 / $84.35 / $139.26