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Texas rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $28.84 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.02 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $52.48 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $8.51 / $9.55
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $23.44 / $112.20
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $33.88 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.96 / $26.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $177.83 / $190.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $16.22 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $13.18 / $19.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.88 / $12.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $16.60 / $45.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.48 / $26.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $9.33 / $15.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.12 / $13.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $6.03 / $15.49