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Missouri rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.94 / $30.60 / $97.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $11.79 / $23.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.85 / $60.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $10.88 / $35.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.54 / $27.66 / $72.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $13.35 / $19.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $21.93 / $81.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.22 / $16.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $11.87 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.91 / $17.09