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Delaware rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $138 · 10th–90th $14–$2190%20%10th90th$138Professionalmedian $11 · 10th–90th $10–$400%50%10th90th$11$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
$13.80 / $138.04 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.33 / $24.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $35.48 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.91 / $18.62