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Michigan 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
$45.25 / $78.54 / $227.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $39.06 / $52.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $33.08 / $119.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.03 / $63.40 / $111.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.59 / $42.04 / $56.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.72 / $47.63 / $140.13
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.96 / $30.96 / $47.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.90 / $54.52 / $68.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.25 / $75.12 / $260.10
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $45.25 / $63.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.49 / $39.44 / $53.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $30.48 / $40.29