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Hawaii rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $13 · 10th–90th $11–$180%10%20%10th90th$13Professionalmedian $15 · 10th–90th $11–$320%20%10th90th$15$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
$10.96 / $13.18 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $15.85
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $29.51 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $18.62 / $25.70
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $23.99 / $33.11