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Vermont rates for HCPCS 86695

Antibody Herpes Smplx Type 1

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.35 / $23.01 / $23.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.40 / $104.49 / $233.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $16.28 / $16.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $22.07 / $110.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $15.28 / $20.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $22.07 / $110.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $15.28 / $20.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $11.06 / $25.80