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Tennessee rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.42 / $46.15 / $71.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $11.79 / $23.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $32.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.25 / $14.65 / $18.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.13 / $28.47 / $50.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.97 / $10.14 / $19.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.32 / $81.59 / $81.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $11.87 / $23.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $9.07 / $16.59