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Arkansas rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $26.92 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.75 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $19.05 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $20.42
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $12.88 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.71 / $23.99