go back

Rhode Island rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $76.83 / $111.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.79 / $23.80 / $39.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $14.51 / $36.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $46.21 / $81.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.96 / $21.40 / $27.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $21.50 / $30.96