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Virginia 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
$72.44 / $117.49 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $102.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $380.19 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $34.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $245.47 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $117.49 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $85.11 / $102.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $77.62 / $97.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $81.28 / $134.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $74.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $77.62 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $77.62 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $43.65 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $40.74 / $87.10