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California rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.41 / $30.72 / $135.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $16.80 / $25.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $6.62 / $7.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.77 / $34.71 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $11.34 / $33.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.27 / $84.90 / $185.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $12.75 / $69.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $18.89 / $48.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $17.35 / $25.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.41 / $14.39 / $23.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $14.39 / $31.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.35 / $76.73 / $76.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.95 / $17.21 / $41.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $14.39 / $28.78
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.50 / $50.50 / $50.50
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $14.39 / $20.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.56 / $27.64