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Nationwide rates for HCPCS G0499

Hepatitis B screening in nonpregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core antigen (anti-HBC), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive HBSAG result

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $50.33 / $104.03	Facility	$28.26	$50.33	$104.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $24.43 / $32.63	Professional	$21.20	$24.43	$32.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $33.92 / $97.73	Facility	$27.36	$33.92	$97.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $16.96 / $34.36	Professional	$13.96	$16.96	$34.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $45.95 / $80.87	Facility	$21.49	$45.95	$80.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $29.25 / $36.56	Professional	$14.86	$29.25	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $16.96 / $34.90	Professional	$11.87	$16.96	$34.90

Nationwide rates for HCPCS G0499

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