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Louisiana rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.48 / $50.32 / $93.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.42 / $33.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $13.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.97 / $38.15 / $71.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.13 / $21.29 / $33.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $20.32 / $20.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $41.84 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $12.95 / $27.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.36 / $39.56