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Arkansas rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $28.00 / $96.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $20.51 / $20.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $15.04 / $15.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $21.98 / $21.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.85 / $13.85 / $13.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.57 / $13.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $16.28 / $33.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $15.28 / $19.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $11.87 / $13.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.91 / $13.27