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Nebraska rates for HCPCS G0475

Hiv Antigen/Antibody Combination Assay Screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $81.84 / $135.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $15.89 / $17.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.30 / $36.60 / $39.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.13 / $28.90 / $31.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $30.19 / $114.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $48.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.92 / $34.18 / $44.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.92 / $41.29 / $62.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $14.45 / $26.49