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Texas 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
$18.19 / $44.91 / $116.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $18.29 / $38.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.47 / $75.06 / $134.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $12.75 / $23.10
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $38.50 / $108.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.45 / $20.45 / $24.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.80 / $40.59 / $106.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $13.10 / $36.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.01 / $114.29 / $114.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $24.06 / $28.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.45 / $24.06 / $24.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.52 / $24.06 / $55.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.25 / $13.57 / $25.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.35 / $19.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.61 / $24.06