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North Dakota 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
$67.84 / $95.57 / $123.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $20.99 / $29.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.39 / $48.52 / $54.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $27.95 / $35.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.12 / $47.42 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $15.32 / $37.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $15.32 / $37.54