go back

Washington rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $33.11 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.13 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $34.67 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $17.78 / $30.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $13.49 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $15.49 / $28.84
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $26.92 / $46.77
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $18.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $23.44 / $42.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.80 / $15.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.76 / $17.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $6.92 / $28.18