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Minnesota 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
$22.64 / $78.73 / $135.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $20.99 / $35.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $35.18 / $79.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $24.08 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.79 / $88.39 / $212.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.95 / $35.14 / $46.52
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.31 / $80.81 / $167.43
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.67 / $43.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.58 / $60.60 / $116.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $34.69 / $109.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $24.08 / $51.89