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Connecticut rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.53 / $27.44 / $77.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.88 / $23.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $19.36 / $36.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $7.91 / $21.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $16.95 / $50.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.01 / $15.28 / $19.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $10.55 / $16.11
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.19 / $17.19 / $41.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $13.19 / $27.54