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Nebraska 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
$24.08 / $78.00 / $289.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $20.99 / $35.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.04 / $12.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $36.65 / $71.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $36.60 / $39.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.67 / $34.59 / $54.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.86 / $47.06 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $48.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.49 / $44.33 / $65.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.92 / $49.06 / $65.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $14.45 / $48.16