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North Dakota rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.83 / $95.60 / $105.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $38.99 / $43.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $22.53 / $28.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.74 / $29.03 / $91.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $23.22 / $33.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.54 / $33.19