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Ohio rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $32.81 / $247.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $15.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.68 / $17.04 / $27.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $16.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.43 / $15.49 / $20.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.17 / $20.14 / $20.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $15.95 / $58.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $12.43 / $22.55
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $15.95 / $59.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.93 / $10.07 / $20.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $12.78 / $18.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.28 / $20.29