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Iowa 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
$12.30 / $27.54 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.00 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $21.88 / $27.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $20.89 / $87.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $15.14 / $36.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $13.80 / $30.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $14.13 / $14.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $25.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $28.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.48 / $11.48