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Alaska rates for HCPCS 86828

Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $442.98 / $752.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.04 / $215.04 / $412.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.31 / $177.31 / $177.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.04 / $73.51 / $91.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.10 / $32.10 / $32.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.19 / $64.19 / $256.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.64 / $237.50 / $256.76
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.77 / $96.29 / $256.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.10 / $32.10 / $215.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.17 / $64.19 / $176.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.48 / $128.38 / $193.67