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Wyoming rates for HCPCS 86696

Antibody; herpes simplex, type 2

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.93 / $85.50 / $108.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.32 / $17.25 / $31.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.19 / $33.19 / $39.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.19 / $30.00 / $62.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.38 / $38.38 / $38.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $22.30 / $27.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $11.17 / $27.05