go back

Rhode Island 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
$39.42 / $72.16 / $138.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $20.04 / $24.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.36 / $29.62 / $32.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $18.05 / $45.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.48 / $78.90 / $101.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.36 / $27.67 / $34.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.43 / $17.05 / $47.64