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Georgia rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.87 / $44.16 / $153.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.88 / $23.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $8.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $16.85 / $45.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $6.51 / $26.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.57 / $13.19 / $21.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.57 / $13.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.22 / $29.02 / $40.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $16.11 / $20.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $17.14 / $47.40
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.47 / $187.94 / $217.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.63 / $23.97