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Missouri rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.50 / $44.89 / $116.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $20.32 / $89.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $15.96 / $52.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.52 / $40.60 / $107.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.27 / $19.67 / $29.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.42 / $32.35 / $91.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.53 / $23.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $19.35 / $19.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $15.80 / $25.08