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Connecticut rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $30.20 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $21.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $20.42 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.94 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $21.38 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $13.80 / $19.05
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $13.18 / $19.50
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $9.77 / $22.91