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Maryland rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $56.89 / $91.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $17.87 / $28.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.26 / $13.40 / $24.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $20.56 / $31.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $24.19 / $29.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.19 / $9.19 / $14.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.61 / $17.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $9.68 / $19.00