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Washington 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
$24.06 / $40.65 / $130.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.62 / $22.62 / $51.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.26 / $44.66 / $114.29
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $20.34 / $39.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.22 / $49.27 / $62.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $27.67 / $35.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.12 / $23.21 / $25.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $25.26 / $53.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.06 / $36.09 / $66.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $21.65 / $21.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.67 / $39.47 / $66.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $24.06 / $64.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $26.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $10.83 / $12.46