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Maine rates for HCPCS 87340

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $66.73 / $138.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $12.09 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $13.79 / $107.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $11.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.37 / $14.55 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $14.06 / $15.03
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.69 / $139.69 / $139.69
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $67.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $12.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $71.19 / $145.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $12.05 / $20.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $8.44 / $20.39