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Maryland rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $19.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $12.30 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.72 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $12.02 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $16.98 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.31 / $6.46 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.12 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $15.14 / $23.44