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Michigan rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.72 / $14.72 / $22.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $14.72 / $14.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.17 / $17.53 / $30.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $11.62 / $15.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $17.76 / $22.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.98 / $14.72 / $27.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $18.59 / $21.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $12.82 / $17.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.91 / $13.44