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South 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
$70.79 / $141.25 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $48.98 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $54.95 / $97.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $64.57 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $173.78 / $398.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $138.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $70.79 / $70.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $74.13 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $67.61