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Pennsylvania 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
$93.83 / $210.82 / $368.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $39.06 / $186.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $28.58 / $47.63
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.69 / $189.19 / $4,035.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.18 / $311.89 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.31 / $63.43 / $157.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $54.52 / $82.51
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.91 / $28.10 / $64.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $127.01 / $302.39
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $31.44 / $45.50
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.54 / $178.53 / $407.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.16 / $200.99 / $416.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.49 / $39.06 / $116.16
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.55 / $389.08 / $541.24
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.89 / $70.92 / $157.56
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.60 / $54.52 / $82.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.63 / $47.63 / $47.63
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.91 / $47.63 / $67.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $31.29 / $82.88