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Ohio rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $38.78 / $56.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $12.95 / $25.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.30 / $22.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.71 / $15.83 / $25.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $15.54
Aultcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.07 / $9.07 / $9.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $14.39 / $19.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.23 / $18.71 / $19.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $14.81 / $32.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $11.55 / $20.95
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.35 / $14.81 / $55.32
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $13.47 / $41.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.79 / $11.86 / $17.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.63 / $20.11