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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
$11.53 / $25.09 / $124.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $11.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $15.39 / $116.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $4.61 / $13.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.63 / $16.04 / $24.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $15.69 / $16.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $13.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $18.68 / $112.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $11.53 / $13.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.42 / $22.77