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Louisiana rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $25.70 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.75 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $28.84 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $28.18
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $27.54 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.55 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $14.45 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.59 / $19.95