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Oklahoma 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
$19.00 / $61.22 / $100.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $20.48 / $27.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $14.45 / $16.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $29.27 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $22.88 / $24.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.65 / $17.03 / $39.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $27.67 / $34.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $20.04 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $13.87 / $28.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $13.24 / $15.65