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Louisiana rates for HCPCS 86694

Antibody Herpes Smplx Non-Specific Type Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.25 / $27.53 / $92.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $17.21 / $25.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.71 / $28.74 / $53.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $15.83 / $24.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $15.11 / $15.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $30.71 / $88.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $9.63 / $20.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $7.36 / $22.93