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Maine rates for HCPCS 80074

Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.63 / $245.33 / $458.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $55.61 / $71.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.09 / $63.59 / $454.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $52.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.58 / $75.72 / $101.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.12 / $61.23 / $68.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $47.63 / $57.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.63 / $202.14 / $397.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.58 / $54.77 / $65.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $36.77 / $88.87