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Utah rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $53.70 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.59 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $16.60 / $27.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $52.48 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.30 / $12.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.45 / $45.71
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.45 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $9.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.51 / $19.95