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North Carolina rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $62.86 / $110.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.88 / $23.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $9.16 / $9.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.35 / $27.52 / $45.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $7.91 / $9.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $13.94 / $34.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.66 / $19.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.55 / $11.96 / $25.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.97 / $18.89 / $24.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.52 / $241.52 / $241.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.00 / $18.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.32 / $81.59 / $81.59