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Tennessee rates for HCPCS 86654

Antibody; encephalitis, Western equine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.89 / $18.30 / $46.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $10.55 / $23.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $14.65 / $18.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $28.47 / $50.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $10.14 / $19.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.76 / $70.00 / $199.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.07 / $18.43