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Arizona rates for HCPCS 87350

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 Be antigen (HBeAg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.56 / $38.72 / $89.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.57 / $10.30 / $11.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $8.01 / $8.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $24.50 / $42.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $9.71 / $13.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $18.73 / $33.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $14.04 / $17.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.65 / $10.46 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.76 / $14.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.76 / $9.41