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Maryland rates for HCPCS 86788

Antibody; West Nile virus, IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $53.51 / $85.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $13.61 / $15.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.65 / $16.64 / $25.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.93 / $11.66 / $21.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $17.89 / $58.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $21.06 / $25.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.02 / $14.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $8.43 / $16.54