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Washington rates for HCPCS 86664

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

Facilitymedian $54 · 10th–90th $15–$1380%10%10th90th$54Professionalmedian $14 · 10th–90th $12–$220%50%10th90th$14$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $60.26 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.80 / $21.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.72 / $10.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $30.90
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.80 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $33.88 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $16.22 / $23.99
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $30.90
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $16.98
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $26.92 / $41.69
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $18.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $40.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.80 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.91 / $19.50
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.94 / $27.54