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Ohio 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
$18.27 / $52.16 / $123.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $16.87 / $52.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $21.29 / $34.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $9.56 / $20.89
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $12.19 / $12.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.53 / $19.35 / $26.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $25.16 / $26.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $19.93 / $67.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $15.54 / $28.18
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $19.93 / $73.40
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $12.58 / $25.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $15.96 / $23.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.87 / $29.38