go back

North Carolina rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.03 / $74.36 / $169.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $17.42 / $34.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $13.44 / $13.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.78 / $66.48 / $75.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $13.55 / $19.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.21 / $20.48 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.31 / $14.22 / $27.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.48 / $17.55 / $37.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.41 / $27.72 / $36.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.39 / $414.39 / $414.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $15.80 / $27.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $13.52 / $26.40
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $91.98 / $91.98