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Maryland rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.89 / $49.84 / $73.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $17.54 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.76 / $16.82 / $39.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $12.76 / $31.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.08 / $30.10 / $36.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $13.87 / $18.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89