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Arizona rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $31.44 / $61.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $12.46 / $99.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.66 / $34.08 / $56.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.97 / $13.05 / $18.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $25.18 / $45.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $19.00 / $23.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $16.76 / $190.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.09 / $12.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.09 / $12.39