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Montana 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

Facilitymedian $36 · 10th–90th $25–$1480%20%10th90th$36Professionalmedian $23 · 10th–90th $18–$650%20%10th90th$23$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $158.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $64,565.42 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $40.74 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $27.54 / $34.67
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $30.90 / $72.44
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $30.90 / $72.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $40.74 / $138.04
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $24.55