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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
$22.58 / $77.58 / $153.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $20.48 / $27.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.04 / $58.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.24 / $26.75 / $32.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $51.84 / $93.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $15.82 / $36.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.52 / $114.38 / $114.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $21.67 / $43.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $16.55 / $34.11