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Washington 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
$33.88 / $74.13 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $21.38 / $66.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $16.60 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $51.29 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $27.54 / $34.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $21.38 / $25.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $45.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $41.69 / $72.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $36.31 / $66.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.80 / $26.92