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Virginia rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $62.90 / $172.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $11.79 / $21.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $13.19 / $64.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $6.51 / $7.97
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.07 / $59.71 / $89.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $33.43 / $67.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $8.81 / $15.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.83 / $16.48 / $19.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $11.96 / $15.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.13 / $21.00 / $93.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $18.43 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $18.43 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.83 / $15.83 / $15.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.80 / $11.06