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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
$33.11 / $44.67 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.42 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $53.70 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $25.12 / $34.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $21.38 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $39.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $41.69 / $72.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $36.31 / $66.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $21.88 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.84 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $24.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $43.65