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Vermont 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 $81 · 10th–90th $41–$2040%20%10th90th$81Professionalmedian $39 · 10th–90th $19–$390%20%40%10th$39$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
$48.98 / $81.28 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $38.90 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $85.11 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $97.72 / $97.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $32.36 / $39.81
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $28.18 / $64.57