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Maine 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
$23.99 / $83.18 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $22.39 / $112.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $204.17 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $13.80 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $38.02 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $27.54 / $38.02
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $245.47
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $23.99 / $28.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $79.43 / $218.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $28.18 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $23.99 / $45.71