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Maine rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $38.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $12.55 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.99 / $20.68 / $156.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.20 / $17.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $21.63 / $33.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.71 / $21.08 / $22.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $18.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $38.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $12.55 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $12.66 / $30.60