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Arizona rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $41 · 10th–90th $11–$710%5%10%10th90th$41Professionalmedian $12 · 10th–90th $9–$430%20%40%10th90th$12$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
$12.30 / $45.71 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $42.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $9.12 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $41.69 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $14.45 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $15.49 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $19.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $14.45