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West Virginia 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
$19.05 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $26.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $32.36 / $39.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $28.84 / $32.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $38.90 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $114.82 / $114.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.72 / $22.39