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New York rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $44.70 / $95.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.22 / $9.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $19.35 / $50.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $11.70 / $43.69
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $19.35 / $19.35
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.35 / $19.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $40.89 / $197.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $21.92 / $124.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.00 / $29.03 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.84 / $11.61 / $35.40
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.65 / $14.65 / $14.65
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.65 / $18.59 / $24.39
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.72 / $11.72 / $12.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.24 / $40.64 / $86.20
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $12.90 / $12.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.87 / $46.82 / $254.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $25.41 / $39.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $13.29 / $14.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.87 / $29.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.25 / $22.25 / $71.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $20.93 / $25.70