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Pennsylvania 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
$20.44 / $85.40 / $107.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.79 / $19.48 / $51.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $8.21 / $8.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.97 / $115.54 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $18.77 / $18.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.81 / $31.28 / $79.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $27.16 / $36.18
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.07 / $19.25 / $32.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $45.72 / $144.61
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $14.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.46 / $82.40 / $109.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.79 / $19.73 / $99.37
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.11 / $32.04 / $79.31
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $27.16 / $34.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $24.06 / $24.06
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.17 / $24.06 / $25.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.79 / $43.68