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Missouri 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
$28.90 / $65.58 / $104.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $20.48 / $26.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.04 / $12.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $25.28 / $111.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $20.47 / $62.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.04 / $50.50 / $134.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.01 / $24.59 / $35.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $41.90 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $16.05 / $28.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $34.11