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Nebraska 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
$15.48 / $73.22 / $203.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $140.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $36.65 / $71.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $33.28 / $35.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.61 / $31.49 / $49.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.14 / $35.34 / $104.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $13.14 / $45.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.61 / $37.36 / $56.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $40.15 / $57.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $13.14 / $24.09