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Illinois rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $33.11 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.30 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $38.90 / $147.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $10.00 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $32.36 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $16.60 / $21.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $28.84 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $14.45 / $28.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $10.23 / $14.45