go back

Pennsylvania rates for HCPCS 87380

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, delta agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.87 / $49.92 / $76.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $14.87 / $17.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.82 / $107.55 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $14.32 / $14.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.07 / $23.86 / $60.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $20.90 / $28.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $10.83 / $24.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.73 / $47.73 / $95.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $49.92 / $76.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $15.10 / $75.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.29 / $24.93 / $60.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $20.90 / $28.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.36 / $18.36 / $18.36
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $18.36 / $23.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $12.23 / $31.95