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Idaho rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.01 / $76.56 / $87.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.19 / $29.02 / $44.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.87 / $20.51 / $75.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $22.30 / $27.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.19 / $33.81 / $39.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $23.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.03 / $43.54 / $71.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $33.17 / $33.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.51 / $39.60