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Utah 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)

Facilitymedian $66 · 10th–90th $23–$790%20%10th90th$66Professionalmedian $10 · 10th–90th $7–$130%20%10th90th$10$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $66.07 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.02 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.94 / $22.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $51.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $10.47
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $11.48 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $5.75 / $7.41
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.76 / $16.22