go back

Nebraska rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.77 / $99.83 / $165.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $9.35 / $22.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.93 / $21.87 / $23.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $97.00 / $97.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $20.65 / $32.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.63 / $28.48 / $76.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.63 / $36.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.62 / $29.32 / $45.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $31.98 / $41.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.48 / $8.63 / $28.78