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Hawaii 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
$12.88 / $15.49 / $18.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $18.62
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $34.67 / $38.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $18.62 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $21.88 / $30.20
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $28.18 / $38.90