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Wisconsin rates for HCPCS 86694

Antibody Herpes Smplx Non-Specific Type Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.27 / $77.59 / $131.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $16.64 / $25.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $37.40 / $39.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $59.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $39.07 / $40.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.65 / $46.33 / $71.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $38.75 / $44.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $12.82 / $17.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.80 / $12.95 / $76.73
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $14.39 / $39.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $28.22 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $12.82 / $17.27
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $34.85 / $54.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.78 / $30.57 / $76.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $9.47 / $14.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $30.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.59 / $25.59 / $78.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $11.87 / $39.44