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Vermont 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
Professional
Modifier
Low / Median / High Price
$30.79 / $30.79 / $30.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.79 / $300.97 / $314.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $25.19 / $31.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $25.19 / $31.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.14 / $14.79 / $34.51