go back

Oklahoma 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 / $24.25 / $57.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $28.87 / $51.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $27.85 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.86 / $22.86 / $22.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.22 / $16.43 / $31.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $17.76 / $34.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $18.95 / $114.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.35 / $25.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.23 / $76.23 / $109.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $15.16