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Rhode Island rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $78.59 / $93.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $11.79 / $21.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $16.22 / $26.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.89 / $25.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $31.48 / $55.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $14.58 / $19.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $15.83 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.62 / $9.63 / $21.10