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Arizona rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $48.60 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.88 / $23.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $9.16 / $10.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.59 / $35.81 / $62.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $14.44 / $20.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $21.43 / $38.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $16.11 / $20.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.89 / $11.96 / $81.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.74 / $12.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.74 / $8.09