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South Carolina rates for HCPCS 86664

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $54.95 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.80 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.72 / $10.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $60.26 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $28.18 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $38.90 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $21.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.78 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $15.14 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.55 / $21.38