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Maine rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $144.54 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.33 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $21.88 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.78 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $15.49 / $18.62
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $25.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.49 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $15.49 / $31.62