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Arizona 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
$20.63 / $80.86 / $120.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $20.48 / $29.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $14.45 / $16.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.62 / $37.89 / $69.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $16.00 / $22.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $39.13 / $70.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $29.32 / $36.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.26 / $20.04 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.33 / $21.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.33 / $19.26