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Illinois rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.60 / $79.44 / $151.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $34.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $11.61 / $26.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $61.87 / $203.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $13.75 / $14.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.23 / $46.90 / $89.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.64 / $23.54 / $29.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $33.86 / $150.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.16 / $25.16 / $25.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $10.64 / $24.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $13.29 / $19.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $12.58 / $27.75