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New Hampshire rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $51.29 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $53.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $27.54 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.33 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $54.95 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $10.47 / $20.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $25.12 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.71 / $42.66