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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
$57.54 / $77.62 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $72.44 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $37.15 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $63.10 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $66.07 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $74.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $43.65 / $77.62