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Vermont rates for HCPCS 86689

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $18.20 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $288.40 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $22.39 / $30.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $16.98 / $52.48