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Nebraska 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
$14.37 / $47.37 / $132.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $10.05 / $10.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $36.65 / $71.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.75 / $17.53 / $18.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.00 / $93.00 / $93.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $16.52 / $26.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $22.68 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $30.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $23.49 / $36.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $25.27 / $33.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $6.92 / $23.06