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Kentucky 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
$22.82 / $99.27 / $336.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $20.04 / $24.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.82 / $4.82 / $30.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $21.67 / $25.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.89 / $34.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $28.90 / $33.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $29.14 / $48.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $18.37 / $51.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.22 / $34.11 / $116.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $13.24 / $13.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $20.47 / $34.11