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Oklahoma 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
$73.48 / $103.57 / $168.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.03 / $73.48 / $80.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.34 / $24.42 / $36.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.78 / $66.78 / $66.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.69 / $45.69 / $61.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.03 / $85.63 / $102.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.92 / $77.16 / $115.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $36.31 / $105.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $34.40 / $86.46