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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
$15.85 / $19.05 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $27.54 / $34.67
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.49 / $52.48