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Delaware rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $87.41 / $195.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $16.05 / $16.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $12.58 / $12.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $22.30 / $36.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $51.47 / $129.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.61 / $27.75