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New Mexico 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
$114.00 / $186.96 / $278.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.68 / $55.61 / $62.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.74 / $315.52 / $512.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.22 / $38.96 / $44.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.96 / $30.96 / $30.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $54.52 / $96.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.20 / $26.20 / $26.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.79 / $57.16 / $94.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.63 / $47.63 / $96.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $28.34 / $29.21