go back

Arkansas rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.11 / $48.69 / $102.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $30.11 / $30.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.06 / $22.06 / $22.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.94 / $32.27 / $32.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.32 / $20.32 / $20.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $12.58 / $19.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.59 / $23.90 / $49.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $22.30 / $27.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $12.58 / $19.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.17 / $27.75