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Pennsylvania rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $42.12 / $64.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.70 / $63.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.09 / $101.41 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.08 / $12.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $20.63 / $51.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.76 / $27.08
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $12.39 / $20.97
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.66 / $133.66 / $133.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.17 / $42.12 / $64.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $13.17 / $63.97
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.37 / $23.53 / $51.07
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.76 / $27.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.63 / $15.49 / $22.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.60 / $28.35