go back

Maine rates for HCPCS 87389

Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $75.03 / $201.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $28.32 / $36.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $32.15 / $220.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $9.63 / $26.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.29 / $38.43 / $51.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.22 / $30.60 / $34.96
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $243.60 / $243.60
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.56 / $24.56 / $139.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $29.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $78.88 / $216.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $27.69 / $42.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.38 / $44.41