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Alaska rates for HCPCS 86703

Antibody; HIV-1 and HIV-2, single result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.80 / $102.88 / $167.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.60 / $45.93 / $45.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.86 / $37.86 / $37.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.98 / $15.69 / $19.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $12.44 / $12.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $13.71 / $54.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.99 / $52.78 / $88.45
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $30.85 / $160.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.44 / $12.44 / $47.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $13.71 / $19.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $27.42 / $41.37