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Connecticut 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
$24.08 / $46.86 / $101.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $20.04 / $24.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $35.34 / $67.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $14.44 / $37.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $29.94 / $88.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $27.67 / $34.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $19.26 / $35.36
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.30 / $49.07 / $134.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $17.05 / $42.66