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New Hampshire rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $56.53 / $108.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $17.66 / $17.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $29.99 / $70.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $10.06 / $11.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.35 / $78.23 / $104.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $11.19 / $22.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.02 / $27.53 / $56.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.28 / $12.98
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $18.38 / $24.93