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Massachusetts rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.08 / $53.65 / $115.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $11.88 / $21.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $31.86 / $81.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $13.19 / $32.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.15 / $36.86 / $64.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.40 / $12.40 / $16.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $19.57 / $45.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $14.58 / $22.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $19.14 / $22.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $18.28 / $49.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.52 / $17.26 / $131.26
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.86 / $81.59 / $81.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.91 / $27.84
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.45 / $14.83 / $21.50
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.63 / $13.60 / $16.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $13.19 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.91 / $23.61