go back

Louisiana rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $21.38 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $30.90 / $57.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $30.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $33.11 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.47 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $15.49 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $8.13 / $21.88