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Maine 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
$24.06 / $24.06 / $102.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $19.48 / $24.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.28 / $32.11 / $178.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $9.61 / $20.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.93 / $24.62 / $40.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.01 / $25.52 / $34.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.06 / $24.06 / $29.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $24.06 / $102.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $24.06 / $27.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.42 / $14.44 / $34.84