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South Carolina rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.10 / $102.20 / $139.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $11.79 / $21.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $9.16 / $23.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $63.82 / $151.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $33.00 / $43.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.96 / $38.22 / $79.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.74 / $8.34 / $19.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $15.23 / $25.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.89 / $24.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $7.25 / $10.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $11.87 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.91 / $18.43