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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
$12.02 / $53.70 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $35.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $17.78 / $21.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $15.85 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $28.18 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $87.10 / $87.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $56.23 / $104.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $22.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.76 / $18.20