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Vermont 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
$77.62 / $77.62 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $109.65 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $125.89 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.18 / $18.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $10.00 / $30.90