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West 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
$21.72 / $82.61 / $184.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $28.03 / $31.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $32.51 / $39.72
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $30.10 / $32.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $51.70 / $72.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.66 / $34.59 / $116.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.61 / $108.02 / $161.47
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.33 / $49.47