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Nebraska rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $25.70 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $6.61 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.81 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $19.95 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $25.70 / $31.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $23.99 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.94 / $23.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $26.92 / $33.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $11.75 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.94 / $14.45