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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
Professional
Modifier
Low / Median / High Price
$20.11 / $20.11 / $20.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.38 / $119.89 / $204.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.29 / $19.29 / $126.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.22 / $18.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.29 / $19.29 / $126.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $13.22 / $18.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.66 / $22.54