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Wyoming rates for HCPCS 86695

Antibody; herpes simplex, type 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $81.69 / $99.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $11.75 / $11.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.61 / $22.61 / $27.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $20.00 / $42.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.52 / $26.52 / $26.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $15.28 / $19.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $7.61 / $18.43