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Illinois rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $43 · 10th–90th $15–$1320%5%10th90th$43Professionalmedian $12 · 10th–90th $9–$240%20%40%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
$15.14 / $42.66 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $24.55
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.94 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $34.67 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $9.12 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $30.90 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $15.49 / $23.99
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.70 / $151.36
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $13.18 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.32 / $13.18