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Hawaii rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $14.13 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $17.38
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $35.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $17.38 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $19.95 / $28.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $25.70 / $36.31