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Idaho rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.89 / $51.92 / $55.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $20.00 / $30.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.86 / $13.97 / $51.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $15.28 / $19.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $20.14 / $27.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $13.19 / $15.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.87 / $25.59 / $47.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $22.70 / $23.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.85 / $18.43