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South Carolina rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.96 / $103.66 / $133.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $34.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.37 / $78.79 / $180.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $20.12 / $49.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.17 / $56.11 / $116.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $12.11 / $27.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.09 / $22.34 / $37.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $27.72 / $36.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $10.64 / $15.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.17 / $27.75