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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
$13.65 / $34.13 / $123.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $18.05 / $45.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $12.03
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.20 / $27.20 / $49.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $52.69 / $110.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $14.42 / $34.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.07 / $14.20 / $19.93
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $24.06 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.23 / $13.23 / $13.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $14.44 / $25.98