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Michigan rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Facilitymedian $17 · 10th–90th $13–$280%20%10th90th$17Professionalmedian $13 · 10th–90th $9–$220%10%20%10th90th$13$5.0$10.0$20.0$50.0$100.0$200.0

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
$13.80 / $16.98 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $20.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $17.38 / $53.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $17.78 / $27.54
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.22 / $18.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $11.22 / $16.22