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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
$55.88 / $95.15 / $111.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $36.11 / $55.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.48 / $25.51 / $93.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.75 / $27.67 / $34.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $46.96 / $156.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $28.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.11 / $54.18 / $88.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.47 / $41.32 / $42.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.33 / $39.64