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Pennsylvania rates for HCPCS 86694

Antibody Herpes Smplx Non-Specific Type Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $42.81 / $60.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $12.95 / $25.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.59 / $94.27 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.46 / $19.16 / $47.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $16.52 / $25.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.62 / $8.49 / $19.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $33.43 / $274.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.23 / $38.40 / $62.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $13.81 / $59.43
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $21.86 / $47.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $16.52 / $25.39
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $14.39 / $14.39
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.66 / $14.39 / $20.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.63 / $25.22