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Indiana 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
$15.23 / $36.95 / $312.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $26.34 / $28.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $14.15 / $46.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.33 / $7.65 / $11.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $17.04 / $21.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $16.26 / $20.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.34 / $15.49 / $40.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $17.76 / $38.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.01 / $40.01 / $40.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.47 / $17.02