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New Hampshire rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $56.23 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.20 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.00 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $58.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.22 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $26.92 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.33 / $45.71