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Alaska rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $45 · 10th–90th $12–$1450%20%10th90th$45Professionalmedian $12 · 10th–90th $10–$590%20%40%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
$44.67 / $93.33 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.14 / $19.05
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.18 / $102.33
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $52.48
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $51.29 / $85.11
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $29.51 / $64.57
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.18 / $16.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $18.62 / $112.20