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Arkansas rates for HCPCS 87389

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; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $37.46 / $98.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.92 / $31.90 / $37.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.45 / $27.45 / $27.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $36.11 / $40.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.28 / $25.28 / $25.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $15.65 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $28.83 / $61.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.27 / $27.67 / $34.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $17.05 / $21.84