go back

Vermont 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
$170.14 / $175.50 / $179.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $18.02 / $18.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.05 / $105.26 / $184.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.75 / $12.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.28 / $17.28 / $95.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $11.98 / $16.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.28 / $17.28 / $95.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $11.98 / $16.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $8.66 / $20.20