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Delaware rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $40.60 / $211.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.95 / $10.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.57 / $8.57 / $8.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $15.28 / $24.54
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $35.09 / $88.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $8.09 / $19.79