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Louisiana rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $33.88 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.75 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.92 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $25.70 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $14.45 / $26.30
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $13.80 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $27.54 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.71 / $15.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $13.18 / $16.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $6.92 / $18.62