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Tennessee 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
$57.97 / $73.80 / $146.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $84.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.54 / $70.29 / $120.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.38 / $84.35 / $222.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $338.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.30 / $333.88 / $333.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.04 / $350.04 / $527.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $43.73 / $83.11