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Rhode Island rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $77.62 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $17.38 / $31.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $23.44 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.96 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $45.71 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $14.79 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $19.50 / $38.02