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New Mexico 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

Facilitymedian $204 · 10th–90th $74–$5620%10%10th90th$204Professionalmedian $72 · 10th–90th $36–$950%50%10th90th$72$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $72.44 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $380.19 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $57.54 / $74.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $151.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $74.13 / $117.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $85.11 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $66.07 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $34.67 / $72.44