go back

Maine rates for HCPCS 86694

Antibody Herpes Smplx Non-Specific Type Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $14.39 / $65.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $16.64 / $21.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.93 / $19.21 / $150.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $5.76 / $16.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.12 / $20.14 / $30.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $19.57 / $20.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $14.39 / $17.43
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $14.39 / $129.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $16.54 / $18.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $11.77 / $28.43