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Louisiana 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
$29.14 / $87.50 / $138.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $20.99 / $29.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $16.72 / $16.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.63 / $46.97 / $76.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $26.49 / $38.78
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $33.71 / $33.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $52.49 / $148.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $16.11 / $34.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $35.10