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Idaho rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $36.31 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $15.14 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $26.92 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.48 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $27.54 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $12.59 / $19.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $15.85 / $54.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.80 / $19.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $22.91 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $13.80
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.76 / $18.62