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Nebraska 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
$47.86 / $72.44 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $19.95 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $38.02 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $36.31 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $45.71 / $57.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $28.84 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.45 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $50.12 / $61.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $21.88 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $14.45 / $26.30