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Wisconsin rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.59 / $23.24 / $34.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.70 / $14.72 / $60.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.29 / $40.27 / $42.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $64.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.43 / $42.06 / $43.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.35 / $49.49 / $75.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $41.71 / $47.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $18.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.70 / $13.94 / $190.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $15.49 / $42.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $30.36 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $18.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $38.02 / $79.43
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.98 / $32.90 / $190.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $10.29 / $15.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.99 / $32.99 / $128.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.50 / $84.58 / $128.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.75 / $12.98 / $38.34