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Oklahoma 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 / $15.84 / $27.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $10.28 / $11.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $6.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $27.85 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $11.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.49 / $8.06 / $18.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $11.66 / $16.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.46 / $10.46 / $60.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $6.64 / $14.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.81 / $49.81 / $71.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.77 / $7.49