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Hawaii 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
$19.95 / $22.39 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $20.89 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $51.29 / $52.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.84 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $33.88 / $36.31
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $45.71 / $61.66