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Massachusetts rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $47.86 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $23.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $18.62 / $81.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $13.18 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $32.36 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $20.89 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $16.22 / $22.39
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $39.81
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $17.38 / $131.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $18.62 / $81.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $13.18 / $27.54
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $15.85 / $21.38
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $13.49 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $13.18 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.96 / $31.62