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Minnesota rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.19 / $54.15 / $138.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.42 / $34.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $35.18 / $79.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.48 / $19.35 / $19.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $70.47 / $169.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.53 / $28.32 / $37.09
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.52 / $64.43 / $133.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.30 / $35.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $45.72 / $104.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $23.22 / $125.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $14.30 / $15.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $15.93 / $41.21