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Arizona 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
$28.84 / $67.61 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.50 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.02 / $12.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $43.65 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $20.42 / $40.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $20.42 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $29.51 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.78 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.23 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $23.99 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.23 / $19.05