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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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $66.07 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.00 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.23 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $13.18 / $22.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $41.69 / $61.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.77 / $10.47
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.48 / $36.31
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.48 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $6.76 / $11.22