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Nebraska rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $52.67 / $77.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.22 / $10.22 / $99.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.77 / $23.53 / $25.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $22.20 / $35.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $20.43 / $190.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.28 / $26.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $22.60 / $48.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $31.56 / $44.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.28 / $26.39