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Virginia 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
$36.36 / $135.68 / $237.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $20.04 / $24.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $117.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $14.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.33 / $110.55 / $165.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $61.28 / $124.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $16.98 / $27.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.90 / $30.10 / $35.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $20.04 / $35.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $32.56 / $42.33
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.73 / $33.07 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $33.07 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.33 / $24.08