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Kentucky rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $39.89 / $111.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $11.79 / $21.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $16.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $11.87 / $13.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.23 / $6.51 / $13.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $15.83 / $18.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $15.96 / $26.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.57 / $10.26 / $28.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $15.00 / $84.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $7.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $11.06 / $18.43