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Virginia rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.66 / $84.20 / $234.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.29 / $33.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $19.35 / $94.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.56 / $9.56 / $11.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.35 / $87.64 / $131.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $50.05 / $98.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $12.96 / $22.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.22 / $24.19 / $28.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $17.55 / $22.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.71 / $29.26 / $46.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $26.51 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.06 / $25.79 / $4,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.77 / $9.68 / $12.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.61 / $19.35