go back

Georgia rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.64 / $58.07 / $186.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $34.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $13.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.97 / $24.72 / $66.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $9.56 / $37.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $19.35 / $30.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.58 / $12.58 / $19.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $42.57 / $59.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $23.54 / $29.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.14 / $25.16 / $69.56
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.45 / $322.47 / $387.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.64 / $10.64 / $11.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.15 / $27.75