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Connecticut rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.38 / $44.16 / $88.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.42 / $34.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $28.40 / $53.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $11.61 / $30.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $24.89 / $75.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.73 / $22.30 / $27.88
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $15.48 / $23.84
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.22 / $25.22 / $56.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $19.35 / $33.96