go back

Maryland 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
$8.51 / $46.77 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $30.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $9.12 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.17 / $7.94 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.91 / $40.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.59 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.50 / $14.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.92 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $11.22 / $17.38