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Minnesota rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.40 / $13.18 / $276.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.88 / $23.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $48.22 / $108.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $13.19 / $13.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.37 / $47.78 / $114.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $19.41 / $25.15
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.11 / $43.68 / $90.50
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $15.28 / $24.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $35.52 / $100.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $15.83 / $100.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $15.83 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.23 / $27.99