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Nebraska 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
$15.49 / $65.81 / $91.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $22.90 / $28.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $23.53 / $25.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.34 / $18.97 / $35.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $30.59 / $175.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $9.28 / $26.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $22.60 / $48.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $31.56 / $44.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.28 / $21.00