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Rhode Island rates for HCPCS 86664

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $89.13 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.80 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $18.62 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $8.51 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $36.31 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.75 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $11.22 / $30.20