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New York rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $29.71 / $68.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $11.79 / $22.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $6.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.19 / $34.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.91 / $28.02
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $13.19 / $13.19
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $13.19 / $13.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $27.85 / $134.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $14.98 / $84.46
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $17.14 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.28 / $7.91 / $24.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $12.35 / $14.81
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.57 / $8.57
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.48 / $26.88 / $58.75
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.78 / $8.78 / $8.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $32.36 / $176.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $18.13 / $116.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $11.87 / $13.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.91 / $19.37
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $15.17 / $34.28
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $12.53 / $15.85