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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
$17.01 / $72.79 / $203.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.88 / $15.88 / $154.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $36.65 / $71.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.28 / $36.57 / $39.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $34.59 / $54.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $35.34 / $114.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $14.44 / $48.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.61 / $37.39 / $61.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.90 / $42.50 / $62.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $14.44 / $48.12