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California rates for HCPCS 86617

Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $41.88 / $149.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $26.34 / $30.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $9.30 / $10.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.97 / $37.36 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $12.20 / $39.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.11 / $85.50 / $199.09
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $13.72 / $74.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $20.34 / $51.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $18.54 / $25.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $15.49 / $24.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $15.49 / $35.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.92 / $121.75 / $175.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.29 / $9.29 / $9.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.85 / $18.53 / $44.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $15.57 / $30.98
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.36 / $54.36 / $54.36
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $15.49 / $21.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.28 / $30.82