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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

Facilitymedian $98 · 10th–90th $31–$1480%10%20%10th90th$98Professionalmedian $21 · 10th–90th $15–$240%20%40%10th90th$21$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $97.72 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $20.89 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $25.12 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.60 / $45.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $107.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $20.42 / $21.88
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.45 / $33.88