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New Mexico 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
$8.65 / $34.59 / $46.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $13.84 / $74.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.76 / $76.40 / $124.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $9.43 / $10.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $7.49 / $7.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $13.22 / $21.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $6.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.27 / $13.84 / $22.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.53 / $21.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.85 / $7.07