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Arkansas rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $22.91 / $60.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $17.38 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.59 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $21.88 / $21.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $13.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $17.78 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.96 / $19.05
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.75 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.94 / $15.85