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Nebraska 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
$70.09 / $232.36 / $820.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $37.96 / $47.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.82 / $23.82 / $23.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.18 / $30.24 / $58.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $72.40 / $78.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.00 / $345.00 / $345.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.84 / $68.15 / $107.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.43 / $118.81 / $424.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $28.58 / $95.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.47 / $94.58 / $149.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.20 / $104.00 / $124.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.15 / $28.58 / $95.26