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Oregon 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
$70.79 / $91.20 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $74.13 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $151.36 / $186.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $85.11 / $114.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $74.13 / $104.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $95.50 / $186.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $77.62 / $91.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $141.25 / $275.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $60.26 / $85.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $34.67 / $87.10