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Michigan rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $16.98 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $12.30 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $16.22 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $16.60 / $20.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.20 / $53.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $17.38 / $25.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.22 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $11.22 / $12.02