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Vermont rates for HCPCS 86694

Antibody Herpes Smplx Non-Specific Type Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $25.11 / $25.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.61 / $214.84 / $256.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.77 / $17.77 / $17.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $231.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $16.52 / $22.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.08 / $24.08 / $231.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $16.52 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $12.07 / $28.15