87276 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 87276

Payer coverage policies that name 87276

87276 appears in 7 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina, Cigna, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaInfluenza Rapid Diagnostic Tests (0476)covered if criteria are metJul 24, 2026payer document
AetnaInfluenza Vaccines (0035)listed, no stanceOct 8, 2026payer document
Blue Cross NCDiagnostic Testing of Influenza AHS - G2119listed, no stanceOct 1, 2025payer document
Blue Cross NCProfessional Pathology Billing Requirements AHS – R2169listed, no stance (range 87003-87999)Mar 1, 2024payer document
BlueCross BlueShield of South CarolinaDiagnostic Testing of Influenza (CAM 134)listed, no stanceOct 1, 2025payer document
CignaLaboratory Testing Services (0604)not coveredMay 15, 2026payer document
Premera Blue CrossDiagnostic Testing of Influenzalisted, no stanceOct 14, 2025payer document

Medicaid fee-for-service

  • AZ: $16.07 (lab), effective Oct 1, 2026
  • CO: $13.39 (lab_cdl), effective Jul 1, 2026
  • FL: $8.68 (lab_independent, non-facility), effective Jan 1, 2026
  • IL: $15.70 (practitioner), effective Jul 1, 2026
  • IN: $13.66 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2018
  • KS: $10.57 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $16.07 (lab), effective Jan 1, 2026
  • LA: $13.66 (lab_radiology), effective Jul 1, 2025
  • MS: $14.46 (comprehensive), effective Jul 1, 2026
  • ND: $16.07 (physician), effective Aug 1, 2026
  • NE: $16.07 (lab), effective Jul 1, 2026
  • NY: $14.64 (lab), effective Aug 1, 2026
  • OH: $12.05 (lab), effective Apr 1, 2019
  • OK: $14.29 (physician, non-facility), effective Jul 1, 2026
  • VA: $13.86 (medical), effective Jul 1, 2014
  • VT: $15.67 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $12.86 (kidneycenters), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.