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Minnesota rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $57.54 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $22.39 / $30.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $52.48 / $112.20
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $29.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $30.20 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.96 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $15.49 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $15.49 / $34.67