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Oklahoma rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.62 / $21.30 / $37.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $11.46 / $14.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $31.89 / $46.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $14.72 / $14.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $10.82 / $25.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $15.64 / $22.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.91 / $16.76 / $190.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $8.85 / $19.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $8.52 / $10.07