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Utah rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.62 / $102.81 / $134.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.46 / $13.17 / $19.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $13.62 / $42.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $17.76 / $22.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $17.80 / $69.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $12.75 / $17.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $9.16 / $9.28