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Alaska rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.60 / $141.00 / $278.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.17 / $80.67 / $80.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $66.51 / $66.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $25.13 / $31.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $19.75 / $29.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $24.08 / $96.32
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $49.55 / $118.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $19.75 / $29.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $31.38 / $66.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $48.16 / $72.65