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Maine 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
$11.48 / $25.12 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.00 / $51.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $107.15 / $117.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $6.92 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.22 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $13.18 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.48 / $13.80
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $17.38 / $114.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $11.48 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $11.48 / $23.44