go back

Washington rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.56 / $33.15 / $85.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $14.56 / $24.68
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.26 / $35.63 / $190.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $14.10 / $26.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.74 / $31.72 / $94.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $20.01 / $31.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $14.94 / $16.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $16.26 / $34.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $23.24 / $42.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $13.94 / $13.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $25.56 / $42.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $15.49 / $42.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $6.97 / $17.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $8.02