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North Carolina 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
$22.30 / $94.57 / $204.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $20.48 / $38.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $16.72 / $17.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $81.34 / $91.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.43 / $23.84 / $63.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $17.43 / $34.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.07 / $20.04 / $32.56
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $33.54 / $42.33
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.83 / $356.83 / $603.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $16.78 / $32.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.70 / $114.38 / $114.38