go back

New Jersey 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
$30.90 / $40.74 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.95 / $44.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $52.48 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $16.98 / $34.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.02 / $21.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $19.50 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $23.99 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $14.45 / $25.70