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New York rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $48.16 / $68.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $21.72 / $36.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $62.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $13.65 / $38.52
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $24.08
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $24.08 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $48.76 / $62.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $12.66 / $116.07
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $50.57 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $14.21 / $45.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $23.12 / $29.36
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $16.86 / $16.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.49 / $39.59 / $107.27
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.45 / $58.75 / $86.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $20.05 / $46.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $14.45 / $36.40
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.02 / $27.02 / $27.02
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $24.08 / $27.04