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Idaho rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.96 / $27.96 / $40.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.84 / $30.21 / $30.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.11 / $16.41 / $60.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $17.76 / $22.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $27.05 / $31.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $18.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.24 / $34.85 / $57.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $26.77 / $27.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.21 / $25.50