go back

North Dakota rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.69 / $78.66 / $276.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.88 / $23.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.93 / $26.58 / $29.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.28 / $15.43 / $19.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $19.79 / $81.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $15.83 / $22.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.19 / $13.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.23 / $22.61