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Tennessee 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
$20.42 / $81.28 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $20.89 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $12.02 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $33.11 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $57.54 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $36.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $16.60 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $26.30