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Utah 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
$40.14 / $95.73 / $147.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $20.04 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.58 / $21.17 / $66.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.12 / $27.67 / $34.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $27.69 / $108.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.43 / $19.54 / $27.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.33 / $34.11