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Hawaii rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.88 / $13.06 / $202.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.97 / $42.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $15.83 / $15.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $28.28 / $33.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $15.83 / $19.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $15.83 / $25.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $23.77 / $33.17