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Montana 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)

Facilitymedian $19 · 10th–90th $14–$890%20%10th90th$19Professionalmedian $11 · 10th–90th $8–$430%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $48.98 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.96 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $16.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $15.49 / $34.67
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.49 / $34.67
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.50 / $66.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.61 / $16.22