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Idaho rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $31 · 10th–90th $8–$550%10%10th90th$31Professionalmedian $15 · 10th–90th $10–$260%10%20%10th90th$15$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
$7.94 / $38.90 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $28.18 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $53.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $27.54 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.77 / $19.05
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $53.70
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $47.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $11.22 / $13.80
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $18.62