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Idaho 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 / $85.11 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $28.84 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $50.12 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $24.55 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $50.12 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $22.91 / $34.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $56.23 / $125.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $26.92 / $45.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $48.98 / $87.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $25.12
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $42.66 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.45 / $48.98