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Maryland 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
$35.42 / $120.80 / $133.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $18.05 / $51.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $19.25 / $26.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $15.81 / $31.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $18.73 / $34.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $30.08 / $36.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $12.03 / $21.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $12.03 / $19.13