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Indiana rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $22.39 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.96 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.08 / $14.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $19.05 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.23 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.71 / $15.85