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Vermont rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $27.03 / $27.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.12 / $263.14 / $275.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.93 / $25.93 / $25.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $17.76 / $24.46
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.93 / $25.93 / $25.93
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.80 / $17.76 / $24.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $12.98 / $30.30