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Vermont rates for HCPCS 86694

Antibody; herpes simplex, non-specific type test

Facilitymedian $138 · 10th–90th $14–$2450%10%10th90th$138Professionalmedian $25 · 10th–90th $12–$280%50%10th90th$25$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $173.78 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $20.42 / $25.12
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $16.98 / $38.90