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Oklahoma rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $26.30 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $11.75 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.94 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $50.12 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $11.22 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $13.18 / $19.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $13.18 / $81.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.59 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.24 / $11.22