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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
$23.99 / $23.99 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $79.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $165.96 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.45 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $25.12 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $23.99 / $34.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $23.99 / $28.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $102.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $23.99 / $64.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $23.99 / $37.15