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Connecticut rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $30 · 10th–90th $13–$780%10%10th90th$30Professionalmedian $12 · 10th–90th $10–$230%50%10th90th$12$5.0$10.0$20.0$50.0$100.0

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
$13.18 / $30.20 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $20.89 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $20.89 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $21.38
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $13.18 / $19.50
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $12.30 / $22.91