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Massachusetts rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.25 / $74.55 / $168.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.66 / $33.67 / $91.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $19.35 / $47.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $54.07 / $94.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.19 / $18.19 / $24.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $28.73 / $66.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $21.40 / $32.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $28.00 / $32.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $26.82 / $72.06
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.79 / $25.32 / $153.69
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $91.98 / $91.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.28 / $12.98 / $40.85
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $21.75 / $31.54
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $19.95 / $24.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $9.68 / $13.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $16.23 / $40.85