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Alaska rates for HCPCS 87390

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.61 / $166.04 / $282.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $80.59 / $154.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.47 / $66.47 / $66.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.89 / $27.67 / $34.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $17.52 / $17.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $24.06 / $96.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.21 / $92.63 / $113.81
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $54.14 / $54.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $17.52 / $84.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $22.81 / $25.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $48.12 / $72.59