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California rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.77 / $44.39 / $157.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.37 / $17.55 / $34.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $11.61 / $17.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.20 / $46.67 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $15.25 / $46.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.10 / $87.40 / $248.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $17.14 / $66.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $25.41 / $64.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.73 / $23.54 / $34.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.20 / $19.35 / $30.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $19.36 / $40.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $91.98 / $91.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $24.19 / $36.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $11.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.05 / $22.39 / $52.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $19.35 / $38.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.91 / $67.91 / $67.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $17.54 / $24.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $11.61 / $14.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.61 / $37.17