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Vermont 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
Professional
Modifier
Low / Median / High Price
$30.79 / $30.79 / $30.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.79 / $300.97 / $314.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.27 / $40.27 / $40.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $27.67 / $34.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.27 / $40.27 / $40.27
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $27.67 / $34.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.79 / $34.51