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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
$11.71 / $28.89 / $80.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $11.46 / $18.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.13 / $51.12 / $93.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $8.21 / $13.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $17.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.82 / $34.04 / $78.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $11.37 / $26.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $177.00 / $190.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $15.49 / $20.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $15.49 / $19.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.39 / $15.49 / $42.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $11.91 / $22.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $8.86 / $12.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $7.65 / $15.49