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New Mexico 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
$18.05 / $36.09 / $72.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $28.87 / $154.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.30 / $152.29 / $258.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $19.68 / $22.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.64 / $15.64 / $15.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $27.67 / $34.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.23 / $13.23 / $13.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $24.65 / $34.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $24.06 / $33.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.50 / $14.44