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Alaska rates for HCPCS 86788

Antibody; West Nile virus, IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.94 / $116.29 / $197.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $56.45 / $64.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.54 / $46.54 / $46.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $19.41 / $24.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $67.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.98 / $64.87 / $108.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $37.90 / $37.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $58.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $21.78 / $24.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.59 / $33.70 / $50.84