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Maine rates for HCPCS G0499

Hepatitis B screening in nonpregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core antigen (anti-HBC), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive HBSAG result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $106.76 / $693.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $22.90 / $42.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $34.34 / $97.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.31 / $11.31 / $49.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.31 / $60.31 / $60.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.86 / $14.86 / $36.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $32.71 / $50.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $69.20 / $693.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.90 / $29.67 / $32.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $20.94 / $50.61