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Louisiana rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Facilitymedian $26 · 10th–90th $15–$680%10%10th90th$26Professionalmedian $11 · 10th–90th $9–$210%20%10th90th$11$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $25.70 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $20.42
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $28.84 / $53.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $28.18
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $39.81 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.55 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $14.45 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.32 / $19.95