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Pennsylvania rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.77 / $79.92 / $146.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $17.42 / $34.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $11.61 / $19.35
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.01 / $81.17 / $1,801.63
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.61 / $126.75 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $15.09 / $15.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $25.77 / $64.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $22.30 / $33.85
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $14.65 / $26.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.36 / $50.57 / $107.06
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $16.45 / $20.35
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.25 / $76.73 / $179.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.92 / $82.74 / $173.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.42 / $41.41
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.08 / $252.18 / $350.81
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.96 / $29.40 / $64.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $22.30 / $33.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $19.35 / $19.35
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $19.35 / $27.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $13.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.82 / $33.90