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West Virginia rates for HCPCS 86653

Antibody; encephalitis, St. Louis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $14.40 / $108.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $10.68 / $10.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $17.80 / $19.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $15.83 / $17.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $28.02 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $19.10 / $84.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.57 / $121.57 / $121.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $7.91 / $21.10