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Mississippi 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
$25.44 / $48.88 / $116.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $26.49 / $48.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.04 / $12.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.80 / $31.80 / $31.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.80 / $31.80 / $31.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $24.92 / $49.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $15.73 / $34.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $15.65 / $45.66