go back

Illinois rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.32 / $30.98 / $46.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $13.32 / $28.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.46 / $49.39 / $162.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $10.69 / $11.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.19 / $37.52 / $71.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $19.00 / $23.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.26 / $29.96 / $141.72
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.14 / $20.14 / $20.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $10.63 / $19.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.28 / $15.95