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Wisconsin rates for HCPCS 86664

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

Facilitymedian $71 · 10th–90th $18$1200%10%10th90th$71Professionalmedian $14 · 10th–90th $11$540%20%40%10th90th$14$2.0$5.0$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
$22.91 / $74.13 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $13.80 / $26.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $61.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $16.22
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $48.98 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $21.88 / $47.86
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $33.11 / $123.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $18.20 / $165.96
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.59 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $43.65
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $25.12 / $43.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $38.90 / $77.62
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $72.44
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $14.79
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $44.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.49 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $12.30 / $38.02