go back

Texas rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $43.65 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.75 / $22.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $48.98 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $13.80
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $21.38 / $87.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $15.14 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $31.62 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.23 / $23.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $14.45 / $77.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.88 / $21.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.02 / $12.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $14.45 / $42.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.47 / $23.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $8.71 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.51 / $12.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $14.45