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Vermont rates for HCPCS 86696

Antibody Herpes Smplx Type 2

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.46 / $33.77 / $33.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.35 / $122.46 / $343.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.90 / $23.90 / $23.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.39 / $32.39 / $122.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $22.30 / $30.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.39 / $32.39 / $122.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $22.30 / $30.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $16.23 / $37.86