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Washington, DC rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.17 / $77.76 / $139.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $9.89 / $9.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $57.69 / $131.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.43 / $22.28 / $47.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.27 / $15.28 / $19.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.81 / $26.81 / $26.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $15.83 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $8.09 / $12.00