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New Mexico rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $23.24 / $46.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $18.59 / $99.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.88 / $102.62 / $166.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $10.07 / $10.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $17.76 / $29.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.52 / $8.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.59 / $30.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $29.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.21 / $9.50