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Oklahoma rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.51 / $44.31 / $83.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $34.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $13.44 / $13.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.74 / $27.85 / $40.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.38 / $18.38 / $19.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.58 / $13.52 / $31.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $19.61 / $27.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $91.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.17 / $25.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $11.61 / $83.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.97 / $16.63