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West 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
$74.13 / $93.33 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $72.44 / $81.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $95.50 / $114.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $95.50 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $112.20 / $112.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $35.48 / $87.10