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Washington rates for HCPCS G0475

HIV antigen/antibody, combination assay, screening

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $62.97 / $132.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $21.84 / $24.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.72 / $16.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.28 / $48.16 / $114.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $24.08 / $49.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $43.66 / $70.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $12.66 / $31.41
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $36.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.67 / $24.08 / $24.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $28.08 / $34.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.28 / $39.52 / $66.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $24.08 / $64.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $26.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.47 / $12.47 / $12.47