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West Virginia rates for HCPCS 86904

Blood typing, serologic; antigen screening for compatible unit using patient serum, per unit screened

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $24.55 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $18.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $26.30 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.61 / $13.18