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Texas rates for HCPCS 86694

Antibody Herpes Smplx Non-Specific Type Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $46.62 / $131.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $10.94 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $14.39 / $14.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.84 / $47.49 / $84.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.63 / $14.10
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.95 / $19.43 / $84.16
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $13.66 / $23.02
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.39 / $15.11 / $15.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.06 / $31.60 / $72.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $10.47 / $24.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.35 / $76.73 / $76.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $14.39 / $21.47
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $14.39 / $18.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $14.39 / $35.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $11.08 / $20.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.24 / $11.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.61 / $7.11 / $14.39