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Maine rates for HCPCS 87391

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-2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $21.90 / $54.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $17.73 / $21.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.19 / $29.24 / $178.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $20.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.93 / $24.62 / $40.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.26 / $24.98 / $31.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $21.90 / $26.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $21.90 / $54.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $17.73 / $21.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.17 / $14.42 / $34.84