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New Hampshire rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Facilitymedian $51 · 10th–90th $23–$1120%10%20%10th90th$51Professionalmedian $12 · 10th–90th $9–$330%10%20%10th90th$12$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
$19.95 / $51.29 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.96 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $27.54 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.33 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $54.95 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $14.79 / $41.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.12 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $12.02 / $53.70