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Georgia rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $29 · 10th–90th $13–$1550%5%10th90th$29Professionalmedian $12 · 10th–90th $9–$260%20%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
$14.45 / $41.69 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $25.70
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $17.78 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.00 / $26.92
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $10.47 / $19.05
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $26.30 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $15.14 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $18.62 / $47.86
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $11.75 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.94 / $22.91