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North Carolina 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
$19.95 / $41.69 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $75.86 / $75.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $35.48 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.30 / $34.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $38.90 / $58.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $17.38 / $34.67
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $19.05 / $20.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $23.99 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $24.55
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82