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Vermont 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
Professional
Modifier
Low / Median / High Price
$67.45 / $67.45 / $67.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.43 / $107.43 / $107.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $63.10 / $91.89
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.43 / $107.43 / $107.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $63.10 / $91.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $38.51 / $83.68