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Washington, DC 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
$43.65 / $144.54 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $20.89 / $89.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $123.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $40.74 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $27.54 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $15.49 / $40.74