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West Virginia rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $53.10 / $225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $10.82 / $17.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.19 / $17.80 / $21.76
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $16.48 / $17.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.71 / $28.02 / $39.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.47 / $19.10 / $84.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.58 / $54.30 / $100.09
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $16.48 / $22.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.91 / $7.91 / $7.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $7.91 / $18.43