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Missouri 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
$57.15 / $225.08 / $422.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $39.06 / $54.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $23.82 / $23.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.63 / $50.01 / $219.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $39.13 / $127.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.20 / $99.91 / $313.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.69 / $48.47 / $71.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.97 / $78.48 / $260.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $33.90 / $57.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $28.58 / $61.73