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New York 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
$20.47 / $56.76 / $112.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $20.48 / $28.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $11.56 / $12.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $62.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $14.68 / $55.04
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $24.08 / $24.08
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $24.08 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $48.76 / $62.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $27.03 / $116.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $31.30 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $14.45 / $44.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $18.67 / $18.67
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $22.40 / $27.04
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.94 / $14.94 / $15.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $50.57 / $106.76
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $16.04 / $16.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $58.75 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $28.40 / $49.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $36.49
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.69 / $27.69 / $61.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $23.85 / $28.94