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West Virginia rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.45 / $76.50 / $197.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $15.87 / $25.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.35 / $26.12 / $31.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $24.19 / $26.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.73 / $41.11 / $58.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $27.88 / $124.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.74 / $81.78 / $116.52
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.61 / $22.15 / $32.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.61 / $30.96