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Texas rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $60.26 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $11.75 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $6.61 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $44.67 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.24 / $8.13
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $20.42 / $141.25
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $17.78 / $22.39
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $28.84 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $9.55 / $22.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $81.28 / $81.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.59 / $19.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $15.85 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $11.75 / $21.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $10.96
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $245.47 / $275.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $13.18 / $38.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.55 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $7.94 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.76 / $11.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.13 / $13.18