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Ohio 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 $50 · 10th–90th $22$980%5%10th90th$50Professionalmedian $21 · 10th–90th $14$680%20%10th90th$21$5.0$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
$21.88 / $53.70 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.38 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $16.60 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $44.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $21.38
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $23.99
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $30.20
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.99 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $30.20 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $15.85 / $45.71
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $48.98 / $128.82
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $51.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $29.51
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $26.92 / $53.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $23.99 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $33.88