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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
$11.87 / $14.25 / $202.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $16.64 / $22.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $17.27 / $17.27
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.42 / $30.89 / $36.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $17.27 / $21.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $17.27 / $27.94
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $26.14 / $36.20