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Texas 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
$8.71 / $48.98 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.33 / $14.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.75 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $39.81 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.31 / $10.96
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $17.38 / $70.79
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.75 / $18.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $25.12 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.32 / $19.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.48 / $60.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $10.23 / $15.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.77 / $9.77
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $208.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $11.48 / $33.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $8.51 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $6.92 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.76 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.47 / $11.48