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Nebraska rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $29.01 / $309.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $17.29 / $31.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.71 / $29.41 / $31.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $27.88 / $44.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $35.90 / $91.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.61 / $26.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $24.97 / $49.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.17 / $32.47 / $50.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.61 / $26.39