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Hawaii rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.96 / $18.09 / $23.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $17.55 / $42.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $23.22 / $23.22
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.47 / $41.52 / $48.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $23.22 / $27.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $23.22 / $37.58
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $34.89 / $48.69