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Delaware 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
$25.04 / $103.69 / $229.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $28.32 / $28.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $15.65 / $15.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $27.67 / $45.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $64.05 / $112.63
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $18.73 / $18.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $34.11