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Wisconsin 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

Facilitymedian $54 · 10th–90th $19$1120%10%20%10th90th$54Professionalmedian $22 · 10th–90th $10$760%10%10th90th$22$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $66.07 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $20.42 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $64.57 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $85.11
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $77.62 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $75.86
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $47.86 / $141.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $114.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.79 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $36.31 / $66.07
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $28.84 / $50.12
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $67.61
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $61.66 / $81.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $114.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.75 / $17.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $51.29 / $204.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $169.82 / $204.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $19.05 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.79 / $43.65