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New Jersey rates for HCPCS 86689

Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.98 / $37.45 / $116.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $15.48 / $23.15
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.60 / $120.60 / $120.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $42.58 / $88.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $15.90 / $27.88
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $11.42 / $19.35
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $13.55 / $17.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $11.61 / $26.25