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Kansas rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $35.40 / $90.37
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 / $9.16 / $9.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.11 / $42.77 / $63.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.96 / $22.28 / $22.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $16.64 / $72.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $19.10 / $48.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.96 / $11.96 / $31.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.91 / $24.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $13.19 / $36.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $7.91 / $27.45