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California rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $37.15 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $7.94 / $13.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $30.90 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $11.22 / $38.90
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $77.62 / $177.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.14 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $22.39 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $13.18 / $21.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.18 / $20.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.18 / $29.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $81.28 / $81.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.59 / $23.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $15.85 / $15.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $15.85 / $38.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.30 / $30.20
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $13.49 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $7.94 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.94 / $26.30