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Wyoming 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
$23.49 / $90.75 / $136.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $20.99 / $41.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.54 / $37.54 / $45.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.10 / $37.00 / $77.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.15 / $48.15 / $48.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $27.67 / $34.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $13.91 / $34.11