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New Hampshire 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

Facilitymedian $93 · 10th–90th $26$2190%10%10th90th$93Professionalmedian $21 · 10th–90th $15$550%20%40%10th90th$21$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $97.72 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.38 / $47.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $46.77 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.49 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $91.20 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $24.55 / $69.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.05 / $100.00