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Maryland rates for HCPCS 86664

Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $77.62 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.80 / $21.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $12.30 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $10.47 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.75 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $16.98 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.46 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.12 / $13.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $15.14 / $22.91