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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
$16.29 / $50.37 / $112.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $12.84 / $25.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $45.73 / $151.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $10.23 / $11.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.05 / $34.97 / $65.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $17.35 / $22.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $27.85 / $132.40
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
$18.71 / $18.71 / $18.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.91 / $14.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.63 / $14.82