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Arizona rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.63 / $69.66 / $98.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.86 / $17.42 / $34.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $13.44 / $14.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.08 / $52.57 / $92.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.25 / $21.20 / $30.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.54 / $31.45 / $56.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.98 / $23.54 / $29.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $17.55 / $91.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.36 / $19.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $14.61 / $15.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.36 / $15.80