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Indiana 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
$24.08 / $60.20 / $129.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $20.48 / $24.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.04 / $21.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $21.67 / $72.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $10.10 / $16.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $26.49 / $33.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $25.28 / $32.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $24.08 / $62.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $21.67 / $34.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $24.08