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West Virginia rates for HCPCS 86687

Antibody Htlv-I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.50 / $13.50 / $13.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.82 / $7.45 / $9.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $12.27 / $13.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.91 / $10.91 / $12.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $17.82 / $27.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $12.91 / $60.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $5.15 / $16.54