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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
$18.20 / $44.67 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $41.69 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $17.38 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $21.88 / $27.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $17.78 / $60.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.92 / $16.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $23.99 / $29.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $10.47 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.92 / $16.98