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Maryland rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $56.84 / $91.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.79 / $21.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.68 / $12.18 / $19.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $9.14 / $16.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $14.01 / $21.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $16.48 / $19.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.91 / $10.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.14 / $6.60 / $12.94