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Minnesota rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $14.56 / $14.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $14.25 / $14.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $34.29 / $77.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.99 / $56.14 / $135.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.94 / $22.55 / $29.55
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.68 / $51.32 / $106.34
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $17.76 / $28.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $30.98 / $190.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $11.44 / $32.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $13.08 / $33.58